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17
Questions
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1
NAME
First Name
Last Name
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2
EMAIL
example@example.com
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3
PHONE NUMBER
Area Code
Phone Number
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4
BIRTHDAY
-
Date
Year
Month
Day
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5
INSTAGRAM OR FACEBOOK
Leave your Instagram handle and/or your Facebook profile
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6
HAIR TYPE
Straight
Wavy
Curly
Coiled
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7
HAIR DENSITY
Thin
Medium
Thick
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8
COLOR TREATED?
YES
NO
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9
SCALP TYPE
Oily
Dry
Normal
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10
DANDRUFF
Yes
No
Sometimes
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11
HAIR TEXTURE
Dry
Frizzy
Both
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12
HOW OFTEN DO YOU WASH YOUR HAIR?
Daily
Every 1-2 days
3+ days
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13
HOW OFTEN DO YOU USE HOT TOOLS
Never
Once in a while
2 - 3x a week
Daily
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14
HOW DO YOU DRY YOUR HAIR?
Air dry
Blow dry
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15
HAIR CONCERNS
Frizzy Rebellious Hair
Densifying
Lightweight Hydration
Oily Scalp / Oily Hair
Lack of Volume
Damage, Breakage & Split Ends
Dry Parched Hair
Soften & Hydrate Curls
Color Care
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16
ARE YOU INTERESTED IN
Product Recommendation & Trying it out
I WANNA MAKE MONEY!!
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17
HOW TO CONTACT YOU
Text Phone Number
Email
Instagram
Facebook
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