You can always press Enter⏎ to continue
Welcome!
Hey Friend, please fill out and submit our healthy hair quiz form.
14
Questions
START
1
Name
*
This field is required.
Enter your first name
Previous
Next
Submit
Press
Enter
2
Email
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
3
Describe your hair texture
Fine
Medium
Coarse
Previous
Next
Submit
Press
Enter
4
Which best describes your curly hair?
Choose the type that are most similar
Wavy Hair - forms a loose S pattern that can easily straightened
Curly Hair - forms a definite S shape like a corkscrew
Coily Hair - very tight curls that creates a Z shape when streched
Previous
Next
Submit
Press
Enter
5
Decribe your hair density
Low
Medium
High
Previous
Next
Submit
Press
Enter
6
Describe the length of your hair
Short
Medium
Long
Previous
Next
Submit
Press
Enter
7
Which best identifies your hair?
Wavy
Curly
Coily
Locs
Short cut
Previous
Next
Submit
Press
Enter
8
Which description best identify your hair ends?
Dry
Brittle / Breaking
Split
Mostly Healthy
Previous
Next
Submit
Press
Enter
9
Identify your hair quality
Select all that apply
Thinning
Dry
Frizzy
Damage
Colored, Bleach, Processed
Mostly Healthy
Previous
Next
Submit
Press
Enter
10
Which best describe your scalp?
Select all that apply
Dry
Oily
Balanced
Flaky / Dandruff
Previous
Next
Submit
Press
Enter
11
Which method are most often used to dry your hair?
Select all that apply
Air Dry
Blow Dry / Diffuse
Heat Styling (straightener / Curling Iron)
Previous
Next
Submit
Press
Enter
12
What are your main hair concerns currently?
Please feel free to share additional details about your hair type
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
13
What additional information would you like to be informed about?
Select all that apply
Natural Hair Care Products
VIP Program
Health & Wellness Products
Business Opportunity
Natural Skin Care Products
Our Story
Previous
Next
Submit
Press
Enter
14
What are your hair goals?
Select all that apply
Hair Growth
Hydrate / Retaining Moisture
Length Rention
Define Curl Pattern
Prevent Breakage
Restore
Reduce Thinning
Reduce Shedding
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
14
See All
Go Back
Submit