We ARE:

We ARE:

Gluten Free, Vegan, Leaping Bunny Certified and National Hair Loss Association Approved! We are backed by scientist and clinical studies.
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Birthday

MonthDayYear
Date
Which best describes your scalp? Select all that apply.

DryOilyItchyFlakySensitiveScalp Psoriasis
Which best describes your hair texture? (How thick each strand is)

FineMediumThick/CoarseNot SureOther
Which best describes your hair density? (The amount of hair on your head)

Thin - Not much hairMediumDense - A lot of hairNot SureOther
Which best describes your hair? Select all that apply.

FrizzyNot FrizzyDamagedNot DamagedBrittle/BreakingOilyLifelessTanglyDryVery Dry
Which best describes your hair? Select all that apply.

CurlyWavyStraightVery ShortShort (above shoulders)Shoulder LengthLong
How often do you wash your hair?

EverydayEvery Other Day3-4 Days5+ Days
Do you have split ends?

YesNoNot SureOther
Which do you need more of - Moisture or Volume?

MoistureVolumeNot Sure
How do you style your hair? Select all that apply.

Air DryBlow DryFlat/Curling IronOther
Do you have any hair loss? If so, which best describes your hair?

ThinningSome Bald SpotsSevere BaldingPostpartum Hair LossHair Loss due to Medication/Medical Reasons
What is your current hair routine?
Ex: Shampoo/Conditioner, Serum,
What is your current favorite haircare brand?
What is your main hair concern? Main hair goal?
Is there anything else we should know about your hair?
Ex: Extensions, Recently Bleached, Scalp Conditions, etc.,
Are you interested in any color toning products?

Perfectly Platinum - Purple Shampoo & Conditioner to brighten blonde and to tone unwanted brassinessBeautiful Brunette - Brown Shampoo & Conditioner to keep your browns rich in color
Are you allergic to nuts or soy?

NutsSoyBothNeitherOther
Should be Empty: