You can always press Enter⏎ to continue
HEY THERE!
Please fill out this form to the best of your knowledge
24
Questions
START
1
Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Phone Number
*
This field is required.
Area Code
Phone Number
Previous
Next
Submit
Press
Enter
3
Email
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
4
Instagram username
Provide your handle if this is your preferred contact method
Previous
Next
Submit
Press
Enter
5
Hair color
*
This field is required.
Brunette
Blonde
Red
Fashion color
Black
Other
Previous
Next
Submit
Press
Enter
6
Hair type
*
This field is required.
Curly
Wavy
Coily
Straight
Other
Previous
Next
Submit
Press
Enter
7
Scalp
*
This field is required.
Oily
Dry
In between
Previous
Next
Submit
Press
Enter
8
How often do you wash your hair?
*
This field is required.
Per week
Previous
Next
Submit
Press
Enter
9
Hair density
*
This field is required.
Thin
Thick
In between
Previous
Next
Submit
Press
Enter
10
Ends of your hair
*
This field is required.
From the ear down
Dry
Hydrated
Other
Previous
Next
Submit
Press
Enter
11
Is your hair chemically treated?
*
This field is required.
Bleached, colored, perm, Brazilian blowout, etc.
YES
NO
Previous
Next
Submit
Press
Enter
12
If chemically treated, tell me about it!
When & what was done?
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
13
How do you style your hair?
*
This field is required.
Natural
Straighten
Curl
Bun or ponytail
Other
Previous
Next
Submit
Press
Enter
14
What is your go-to look?
*
This field is required.
Example: frizz free curls, sleeked back pony, etc.
Previous
Next
Submit
Press
Enter
15
Hair concerns/problems
*
This field is required.
Dandruff
Damage
Split ends
Excessive oil
Psoriasis
Won’t grow
Hair loss/patches
Frizz
Unmanageable
Lack of volume
Eczema
Other
Previous
Next
Submit
Press
Enter
16
What is the biggest concern you want to target?
*
This field is required.
Previous
Next
Submit
Press
Enter
17
Do you air/towel dry?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
18
If so, how often?
*
This field is required.
(N/A if never)
Previous
Next
Submit
Press
Enter
19
Do you blow dry?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
20
If so, how often?
*
This field is required.
(N/A if never)
Previous
Next
Submit
Press
Enter
21
What do you want to achieve?
*
This field is required.
Describe your dream hair to me!
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
22
Would you want to add on a color enhancer?
*
This field is required.
Blonde color enhance
Brunette color enhance
Platinum color enhance
None
Previous
Next
Submit
Press
Enter
23
What do you currently spend on your haircare?
*
This field is required.
If unsure, what is your ideal budget?
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
24
If possible, provide photos of your hair
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
24
See All
Go Back
Submit