Hair Consultation with Eva's Patch

Hair Consultation with Eva's Patch

We are a Global Beauty company specialising in low tox hair and skin care products. We offer naturally-based products that grow and anchor the hair. We are bringing YOU the best of both nature and science, using only the finest quality and high-performing ingredients from all over the world. We are anti-aging, clinically tested, vegan, naturally based and leaping bunny certified and designed to improve quality of hair, scalp and skin.
Name

First NameLast Name
Email *
example@example.com
Instagram Handle
@evas_patch
How would you like to be contacted?
DM's, Text, Email, Messenger, Whatsapp, Signal, Telegram
How important is it for you to have healthy thriving hair?

1

2

3

4

5

1 is It would be nice, 5 is It's all I dream about
What are your hair goals?*

Strengthen & GrowVolume & ShineThicknessHydrationEnhance curls
What Is Your Hair Type?*

StraightCurlyWavyCoiled
What Is Your Hair Length?*

PixieShort/ShoulderMid LengthLong
What Is Your Hair Density?*

Thin/FineMediumThick
Is Your Hair Color Treated?*

YesNo
Is Your Scalp...*

OilyDryNormal
How Often Do You Wash?*

Every dayEvery other dayEvery 3-4 daysOnce a week
Is Dandruff or Flakiness an Issue?*

YesNo
My Hair Is... (select all that apply).*

DryLimpFrizzyBrittle (breaks easy)Damaged From HeatThinningReceding (receding hairline)Has Split EndsChemically Over-ProcessedNone of the aboveOther
How Often Do You Apply Heat?*

NeverOnce in a while2-3 times a weekDaily
How Do You Prefer To Style Your Hair?*

Air-dried and StyledBlow-dried and StyledOnly Air-driedOnly Blow-driedOther
Ultimate hair goal or anything else I should know?*
How much would you like to spend for premium low tox haircare for a 6-12 month period?*

$100 to $300$300 to $500$500 plusOther
I'm Interested In...*

Purchasing the ProductsEarning an Extra Income (+30% - 55% off!)
Are You Interested In Any of our other lines?*

SkincareMen’s rangeNot at this timeOther
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