Holy Grail Healthy Hair Quiz

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TAKE THE HOLY GRAIL HAIR QUIZ

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About your free healthy hair consultation

Chi Hair believes that knowing the causes of your hair loss is crucial in effectively treating your hair loss.

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Have you ever had an x-ray of your scalp and hair?* This field is required.

Yes

No

4

Do you know what foods that can stunt your hair growth?* This field is required.

Junk Food

Vegetables

Fruit

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Do you know what you should never drink before having your hair relaxed?* This field is required.

Soda

Juice

Coffee

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Do you know how many minutes a chemical can sit on your scalp, before it enters your blood stream?* This field is required.

Instantly

5 Minutes

17 Minutes

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What type of hair issues do you have?* This field is required.

Thinning Edges

Shedding

Hair Loss

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Submit quiz to learn how to avoid these problems!* This field is required.

Hair Dye

Chemical Relaxers

Hair Loss

Hair Breakage

9

Do you have any medical conditions?* This field is required.

Thyroid Conditions

Birth Control Pills

After Pregnancy Shedding

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Want to fix your hair issues?* This field is required.

YES

NO

Not Sure

11

First Name* This field is required.

12

Last Name* This field is required.

13

E-mail Address* This field is required.

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Phone Number* This field is required.

Area Code

Phone Number

15

Appointment / CST Time