Beauty Quiz

1

What is your name?* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

What is your Instagram handle?* This field is required.example: @alainayard

4

Phone Number* This field is required.

Area Code

Phone Number

5

What is your birthdate?* This field is required.We send you a free gift on your birthday!

Date

6

What is your hair type?* This field is required.

Straight

Wavy

Curly

Coiled

7

What is you hair density?* This field is required.

Very Thin

Thin

Thick

In Between

8

What is your hair texture?* This field is required.

Frizzy

Dry

Frizzy/Dry

9

What is your hair length ?* This field is required.

Pixie

Short/Shoulder Length

Mid Length

Long

10

Is your hair color treated?* This field is required.

Yes

No

11

Is your scalp:* This field is required.

Oily

Dry

Normal

Other

12

How oily does your scalp get within two days of washing?* This field is required.

Not Oily

Somewhat Oily

Very Oily

13

How often do you wash?* This field is required.

Every day

Every other day

Every 3-4 days

Once a week

14

Is dandruff or flakiness an issue?* This field is required.

Yes

No

Somewhat

16

How often do you apply heat?* This field is required.

Never

Once in a while

2-3 times a week

Daily

17

What is your biggest concern?* This field is required.

18

What are your ultimate hair goals?* This field is required.

21

What product lines are you interested in?* This field is required.

Hair care Line

Skincare Line

Both