Hair quiz

1

Name* This field is required.

First Name

Last Name

2

Phone Number* This field is required.

Area Code

Phone Number

3

Email* This field is required.

example@example.com

4

Instagram UsernameProvide your handle if this is your preferred contact method

7

Scalp* This field is required.

Oily

Dry

In between

8

How often do you wash your hair?* This field is required.Per week

9

Hair density* This field is required.

Thin

Thick

In between

10

Ends of your hair* This field is required.From the ears down

Dry

Hydrated

Other

11

Is your hair chemically treated?* This field is required.Bleached, colored, perm, Brazilian blowout, ect.

YESNO

12

If chemically treated, tell me about it!When & what was done?

15

What is the biggest concern you want to target?* This field is required.

16

Do you air/towel dry?* This field is required.

YESNO

17

If so, how often?* This field is required.(N/A if never)

18

Do you blow dry?* This field is required.

YESNO

19

If so, how often?* This field is required.(N/A if never)

20

What do you want to achieve?* This field is required.Describe your dream hair to me!

21

If possible please provide a photo of your hair