Hair Consult Request Form
Hey love! I am so excited to find you the best vegan, naturally based anti-aging products. All of our products are tailored towards your exact hair type and goals, there is NO one shampoo that fits all! Please tell me a little more about your hair below and I will message you to get you on the best, custom hair care products to help you achieve your hair goals !!
Date of Birth
Where would you like me to send my recommendations? (select all that apply)
Are you allergic to Nuts or Soy
Describe the texture of your hair
Dense! I have ALOT of hair
Which describes your scalp (check all that apply)
Is your natural hair straight, wavy, or curly?
Is your hair damaged?
What length is your hair
Very short (men, or pixie)
Short (bob, past the chin)
Is your hair processed?
Yes, with bleach
Yes, with color
If yes what type of damage do you have?
Yes, with bleach or color
Yes from brushing
Yes from thermal
Yes from environment
All the above
Is your hair frizzy?
How often do you wash your hair?
Every other day
Every 3-4 days
Once a week or less
What would you like more of?
How do you style your hair?
I use styling tools (curling iron ect)
Describe briefly how you wear your hair daily, any products you’re currently using in shower and post shower for styling purposes. (Ex. Blow dry, Air Dry, Mousse, Gel, Hairspray, Garnier, Suave, Biolage, Redkin, etc.)
Additional Comments and concerns (Ex. What are your overall hair goals, hair loss, split ends, etc.)
Did you check that all of your contact information is correct?
Yes it's correct!
I am interested in...
Paying full price + shipping for a one time purchase
Receiving 15% off, Free shipping + a free gift- as a VIP customer
30% off + the opportunity to make money with this company!
Are you interested in learning about our other lines?
Body Care Line
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