Personalised Haircare Routine
What is your name?
*
First Name
Last Name
What is your email address?
*
example@example.com
Confirm your email address
*
example@example.com
Do you suffer from any of the following issues?
*
Extremley Dry Hair
Thin Hair
Damaged Hair
Breakage
Split Ends
Other
Do you currently use a moisturising method?
*
Yes
No
If yes, which one do you currently use?
*
Not applicable
LCO
LOC
LO
LC
Other
Does the moisturising method that you currently use work effectively for you?
*
Yes
No
How long does your hair stay moisturised?
*
A few hours
Less than a day
1-2 days
3-4 days
5-6 days
1 week
Longer than a week
Unsure
What is your porosity?
*
High
Normal/ Medium
Low
Not Sure
How often do you wash your hair?
*
Every week
Every 2 weeks
Every Month
Every 2 Months
Other
What are the best times for you to moisturise your hair?
*
12am-1am
1am-2am
2am-3am
3am-4am
4am-5am
5am-6am
6am-7am
7am-8am
8am-9am
9am-10am
10am-11am
11am-12pm
12pm-1pm
1pm-2pm
2pm-3pm
3pm-4pm
4pm-5pm
5pm-6pm
6pm-7pm
7pm-8pm
8pm-9pm
9pm-10pm
10pm-11pm
11pm-12am
I confirm that the answers that I have given are true and reflect my current circumstances.
*
Yes, I agree
Submit
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