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Name:
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First Name
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Email:
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example@example.com
Order ID:
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Issue I'm Dissatisfied With:
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I do not see any progress after more than 90 days of daily or consistent use.
I am experiencing hair & scalp or skin irritation.
I do not like how the product smells when applied.
Other
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Day
Year
Date
Just a Few More Questions!
Have you experienced any allergic reactions while using our products?
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Yes
No
Are you mixing any other products with our products during application?
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Yes
No
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