CUSTOM HAIRCARE CONSULTATION
Hello Gorgeous! Please fill out these questions so I can get a better understanding of your hair. I will look over your answers in depth and will text you the results ASAP!
Your Name
*
Phone Number
*
Email
*
example@example.com
Which applies to you?
*
I am your BELLAME Customer
I've never tried BELLAME before
I'm a Bellame Partner
Other…
Which describes your hair shape - see picture below?
*
Straight
Wavy
Curly
Coily
How thick is your hair strand - see picture below.
*
Fine
Medium
Coarse
What are your primary hair concerns?(Check all that apply)
*
Dryness and Damage
Coarse or Textured Hair
Oily Scalp and Hair
Frizz and Flyaways
Dry Scalp, Buildup or Flakiness
Other
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/Little
Some
Extreme
What is your desired outcome from your hair routine?
*
Overall rejuvenation and repair
Extreme hydration and manageability
Purification and Oil Control
Is there anything else you’d like for me to know?
Should be Empty: