Hair Care Assessment

Hair Care Assessment Form

"We Believe Everyone Is Unique"At Suhaylah Nyle, we understand that no two people are the same. That’s why we take a personalized approach to skincare and wellness. Answer the questions below, and we’ll create a custom product that aligns with your unique needs, goals, and lifestyle.
Name*

First NameLast Name
Email
example@example.com
What is your hair texture?*

FineMediumThick/CoarseOther
How would you describe your natural hair type? (Select all that apply)*

StraightWavyCurlyCoily/KinkyOther
What is your main hair care concern*

Dry/FlakyOilyItchy/SensitiveOther
Are you experiencing any of the following issues?*

Hair breakageHair thinning or hair lossDandruffSplit endsExcessive oilinessOther
Are you experiencing any of the following issues?

Hair BreakageHair thinning or hair lossDandruffSplit endsExcessive oilinessOther
What are your primary hair care goals?*

Moisture and hydrationVolume and thicknessSmoother, more manageable hairReducing hair loss or promoting growthRepairing damage (e.g., from heat, color, or chemicals)Other
If applicable, upload images of your hair care concerns.

Browse Files

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How often do you wash your hair?

DailyEvery other day2–3 times a weekWeeklyOther
How do you usually style your hair?*

Wash and goBlow dry/straightenProtective styles (e.g., braids, twists, wigs)Are there specific results you’d like to see with your hair care routine? (Please answer in the other option box)Other
What products are you currently using? (List shampoo, conditioner, treatments, oils, etc.)
Do you use heat on your hair?

Frequently (daily or several times a week)Occasionally (once or twice a week)Rarely (a few times a month)Other
Do you color or chemically treat your hair?

YesNoOther
How would you describe your environment?

HumidDryCold climateWarm climateOther
Are you open to using natural or DIY natural hair care solutions?
Are there any allergies or sensitivities you have to certain ingredients?
Please feel free to add anything that you would like for us to know for your personal product.
I certify that all information provided is accurate and true to best of my knowledge.
**Product Disclaimer for Hair and Skin Care Products**

The use of Suhaylah Nyle hair care and skin care products is subject to the following terms and conditions:

1. General Information
- Our products are formulated using high-quality ingredients and are designed for external use only.
- Individual results may vary depending on skin or hair type, underlying conditions, and other personal factors.

2. Allergies and Sensitivities
- Please review the ingredient list on the product packaging before use to identify potential allergens.
- Perform a patch test on a small area of skin 24 hours before full use. If irritation, redness, or discomfort occurs, discontinue use immediately and consult a healthcare professional.

3. Medical Concerns
- These products are not intended to diagnose, treat, cure, or prevent any disease.
- If you are pregnant, nursing, or under the care of a physician for a chronic condition, consult your doctor before use.

4. Storage and Handling
- Keep products away from direct sunlight, heat, and humidity to maintain quality.
- Keep out of reach of children and pets.

5. Liability
- Suhaylah Nyle is not responsible for adverse reactions due to improper use, storage, or failure to follow instructions.
- By using these products, you agree that Suhaylah Nyle is not liable for any damages arising from their use beyond the purchase price.

6. Professional Advice
- For professional guidance on specific skin or hair concerns, consult a licensed dermatologist or trichologist.
By purchasing and using Suhaylah Nyle products, you acknowledge that you have read, understood, and agree to this disclaimer.
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Hair Care Assessment Form