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Healthy Hair Starts Here!
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12
Questions
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1
Name
First Name
Last Name
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2
Phone Number
Area Code
Phone Number
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3
How's your hair?
Thin
Thick
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4
Is your hair...
Curly
Wavy
Straight
Coily/Kinky
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5
Is your hair...
Dry
Oily
Oily scalp but dry ends
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6
Any frizz?
YES
NO
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7
Split / dead ends?
YES
NO
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8
Any scalp problems?
YES
NO
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9
Current shampoo brand:
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10
Anything you want more of in your hair?
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11
Anything you want less of in your hair?
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12
Any other hair concerns?
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