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Name
First Name
Last Name
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2
Email
example@example.com
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3
What is your hair type?
Fine
Thick
Curly
Wavy
Straight
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4
How many times do you wash your hair?
Everyday
Twice a week
Three times a week
Other
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5
Do you have any scalp conditions?
YES
NO
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6
If you answered yes for any scalp conditions please answer below?
Dundruff
Dry scalp
Oily scalp
Hair loss
Other.
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7
How many times do you style your hair with a hot iron?
Once a week
Twice a week
Three times a week
Only on special occasions
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8
What products do you like to use?
Shampoo
Conditioner
Treatment
Styling products?
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9
Are you looking for growth?
YES
NO
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10
Are you interested in Monat Products?
YES
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