What's your name?
*
How dense is your hair?
*
1
2
3
4
5
Fine
Super Thick
1 is Fine, 5 is Super Thick
What's your hair texture?
1
2
3
4
5
Straight
Curly AF
1 is Straight, 5 is Curly AF
Hair Color (Pick closest to what the majority of your hair is currently)
*
Blonde
Brunette
Red Head
Other
Have you colored your hair in the past two years?
*
Yes
No
If yes, when?
How often do you wash your hair?
*
Daily
1-2 days
4 days+
How often do you use heat tools?
*
What are you looking to have done? Hair goals here!
*
Are you looking to see Dana, Jess or no preference?
Anything else we should know? Hair concerns? Questions?
Instagram name?
Phone Number
*
-
Email
*
Submit
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