Please complete this form to receive personalized recommendations for your hair or skin.
WELCOME!
I'm very happy that you're here. If you came to this form, you are probably looking to improve the health of your hair or skin, and I would love to help you. My name is Aylin, After going through a stage of constant hair loss and trying many products, I found a routine that transformed my hair and awakened in me the passion to learn more about hair care. Today I love helping other people find a personalized routine according to their needs. This form will allow me to get to know you better to recommend the products that best suit your hair, scalp or skin. Thank you for trusting me! 🤍 I am very excited to accompany you in this process. God bless you!
Name
*
First Name
Last Name
Email
*
example@example.com
IG,facebook or TikTok handle
*
If No social media please but NONE
Where are you located? City/State/Country
*
Ex- phoenix, Az, United States
WHO REFERRED YOU or HOW did you find me?
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Let's talk about your head. What’s your biggest concern? Please Check all that apply.
oily hair
Oily Scalp
dry and flaky scalp
Dry ends
thinning/hair loss
frizzy
can't ever get enough volume
damage from bleach
I have split ends
What type of hair do you have? Please Check all that apply.
Straight hair
Wavy
Coily
curly
not sure
How many times a week do you wash your hair?
Every day
Every other day
2-3 time a week
once a week
Do you use any heat tools, bleach or dye your hair ? check all that apply
Yes I use hot tools everyday
I use hot tool 1 or 2 times a week
I use hot tools but not often
No I don’t use hot tools
Yes I have bleached or Dye my hair
no my hair is not bleached or dyed
Are you currently satisfied with your skin?
Yes
No
Could be better
Are you experiencing any of these common skin issues? Check all that apply.
Acne
Oily skin
Dry skin
Signs of aging
Fine lines/wrinkles
Dark spots/Age spots
Dull skin/lacking glow
Definitely interested in skincare makeup
none
How would you like me to get in touch with you with my product recommendations?
TEXT ME
Send me an IG DM
WhatsApp
Messenger
TikTok
What is your price range for a new haircare or skincare regimen? Our VIPS save 15%+ off every order
$100-$150
Whatever it takes to get help!
I prefer to buy a bulk pack of everything & get the biggest discount
Are you open to the Business side at all? (must be 18+)
No, I just want to be a customer.
Maybe, if I love the products I'm open to it
Yes!
(OPTIONAL) ADD A PICTURE OF YOU / YOUR HAIR
¡Thank you for taking the time to answer this form! 🤍
Based on your answers, I will prepare a personalized recommendation designed especially for you and the needs of your hair and/or skin. ✨My desire is to help you find products that adapt to your routine and accompany you in your personal care process. There is no purchase commitment; I just want to give you guidance and share options that can help you. Thank you for trusting me and allowing me to be part of your process. 🫶🏼 If you still don't follow me on my socials, I invite you to find me on Instagram and TikTok as @aylingalvez21 ✨ There I share specials of the month, personal care tips, my experience and much more. God bless you! 🤍
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