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14
Questions
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1
Name
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This field is required.
First Name
Last Name
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2
Email
*
This field is required.
Make sure this is an account you check often because you will get your results via email
example@example.com
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3
What services do you currently receive?
Haircolor
Highlights
Root touch up
Lowlights
Haircuts
Extensions
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4
What best describes your hair density?
Thin
Medium
Thick
Type option 4
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5
What is your hair's texture?
Straight
Wavy- 2 A
Curly- 3 A
Curly-4 A or tighter
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6
What best describes your hair length?
Short-Above the shoulders
Short, hits my shoulder
Medium-past my collar bone
Long- Past my mid back
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7
What struggles do you currently have with your hair?
Click all that apply
Dry/brittle ends
Frizzy
Doesn't hold a curl
Doesn't hold natural curl
Lacks volume throughout
Lacks volume at the roots
Breaks easily
Lacks shine
Oily at the scalp, dry ends
Dry/Itchy scalp
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8
How often do you wash your hair?
Once a week
2-3 times a week
Daily
Once a week
2-3 times a week
Daily
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9
How often are you getting a haircut?
Once every 6-8 weeks
Every 3-4 months
2-3 times a year
Once a year
Over a year ago
Once every 6-8 weeks
Every 3-4 months
2-3 times a year
Once a year
Over a year ago
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10
Do you blow dry your hair?
Every time
Just in the colder months
Sometimes
Never
Every time
Just in the colder months
Sometimes
Never
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11
Do you use a heat protectant every time before blow drying?
YES
NO
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12
Do you flat iron/curl your hair?
Everyday
1-2 times a week
Only if I'm going out
Very seldom
Never
Everyday
1-2 times a week
Only if I'm going out
Very seldom
Never
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13
Do you use a heat protectant every time you use a flat iron/curling iron?
YES
NO
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14
What products are you most interested in me recommending to you?
Click all the apply
Shampoo
Conditioner
Hair Treatments
Styling products
CBD products
Scalp treatments for hair growth
Collegen supplements
Lash Serum
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