Haircare quiz

Custom Hair Consultation
Complete this questionnaire for me to get a better understanding of your hair. I will review your quiz answers and send over your haircare recommendations.
Name *

First NameLast Name
Best email to send your results to?
example@example.com
Phone Number:
I will text your results, and we can correspond through text with any questions you have about (I will never spam you! A text will only be sent out during the occasional sale!)
How would you like to communicate? *

I would like to receive text messages and emails from you!I would only like to receive email (I understand this will opt me out of receiving text messages from you)
where are you located?

USCanadaOther
Which best describes your hair shape? Choose from one of the following:

StraightWavyCurlyCoily
How thick is your hair strand? Choose below: *

FineMediumCoarse
What are your primary hair concerns? (check all that apply)*

Dryness and DamageCoarse or Textured HairOily Scalp and HairFrizz and FlyawaysDry Scalp, Build Up or Flakiness
Type a question
Other hair concern besides the ones listed above:
How often do you wash your hair? *
How often do you color your hair? *
Do you have build up on your scalp (oil, flaking, etc.)? *

None/LittleSomeExtreme
What is the desired outcome of your hair routine? *

Overall rejuvenation and repairExtreme hydration and manageabilityPurification and oil control
Anything else you'd like me to know?
Should be Empty:

Custom Hair Consultation