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16
Questions
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1
Please Put Your Name
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First Name
Last Name
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2
What is the thickness of your hair
Please answer what fits best about your hair's thickness
Very thick
Thick
Medium
Thin
Very Thin
Other
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3
What is the texture of your hair?
Please answer what fits you best about your hair's texture
Straight
Wavy
Curly
Coily Coarse
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4
Is your hair dry?
Please answer what fits you best about your hair being dry
YES
NO
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5
Do you have oily roots?
Please answer what fits you best about your hair being oily
YES
NO
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6
How often do you wash?
Please answer how much times a week or day you wash your hair
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7
Do you have split ends?
Please answer what fits you best about your hair having split ends
YES
NO
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8
Is your hair frizz?
Please answer what fits you best about your hair being frizz
YES
NO
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9
How is your scalp?
Please answer what fits you best about your hair scalp
Itchy
Flakes
Greasy
Dandruff
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10
Do you have a relaxer/perm?
Please answer what fits you best about what you have in your hair
YES
NO
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11
What do you want more of in your hair? (Bounce, shine, thickness etc)
Please answer what you want more of everyone deserves to have beautiful hair
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12
What do you want less of? (Thinness, dullness, greasiness etc)
Please answer what you want for your hair but more less of
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13
What is your primary hair concern?
Please answer about what are your concerns are about your hair I'm here to listen and get what you need
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14
What goals do you want for your hair?
Please answer about what you for your hair everybody deserve great hair
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15
Email
Please leave your email if you feel comfortable talking on email
example@example.com
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16
Phone Number
Please leave your phone number so I can text you your results
Please enter a valid phone number.
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