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
Other
Describe the texture of your hair
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Thin
Thick
Coarse
Fine
Medium
Dense! I have ALOT of hair
Which describes your scalp (check all that apply)
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Oily
Dry
Itchy
Flakey
Normal
Scalp Psoriasis
Other
Is your natural hair straight, wavy, or curly?
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Straight
Wavy
Curly
Other
Is your hair damaged?
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Yes
No
Not sure
What length is your hair
*
Very short (men, or pixie)
Short (bob, past the chin)
Shoulder length
Long
Very long
Other
Is your hair processed?
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Yes, with bleach
Yes, with color
No
Other
If yes what type of damage do you have?
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Yes, with bleach or color
Yes from brushing
Yes from thermal
Yes from environment
All the above
No damage
Other
Is your hair frizzy?
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Yes
No
Other
How often do you wash your hair?
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Every day
Every other day
Every 3-4 days
Once a week or less
What would you like more of?
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Hydration
Volume
Both
Other
How do you style your hair?
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Air Dry
Blow Dry
I use styling tools (curling iron ect)
Other
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...
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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!
Other
Are you interested in learning about our other lines?
Body Care Line
Skin Care
Mens Line
Junior Line
Wellness Line
Pet Line
Submit
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