Ashleys Hair Consult Request Form

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 !!
Name *

First Name Last Name
Email *
Date of Birth *

Month Day Year
Date
Phone Number *
Instagram Name
Where would you like me to send my recommendations? (select all that apply) *

Text Email Instagram DM
Are you allergic to Nuts or Soy *

Nuts Soy
Describe the texture of your hair *

Thin Thick Coarse Fine Medium Dense! I have ALOT of hair
Which describes your scalp (check all that apply) *

Oily Dry Itchy Flakey Normal Scalp Psoriasis
Is your natural hair straight, wavy, or curly? *

Straight Wavy Curly
Is your hair damaged? *

Yes No Not sure
What length is your hair *

Very short (men, or pixie) Short (bob, past the chin) Shoulder length Long Very long
Is your hair processed? *

Yes, with bleach Yes, with color No
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 No damage
Is your hair frizzy? *

Yes No
How often do you wash your hair? *

Every day Every other day Every 3-4 days Once a week or less
What would you like more of? *

Hydration Volume Both
How do you style your hair? *

Air Dry Blow Dry 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 Skin Care Mens Line Junior Line Wellness Line Pet Line
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