DivineHairCare Scalp Wellness Assessment

What is your name?

First Name

Last Name

How did you find DivineHairCare today?* This field is required.

Wellness event

Instagram

TikTok

Facebook

Referral

Google/Search

Existing client

Other

What are your current scalp concerns?* This field is required.Check all that may apply

Dryness

Itching

Flaking

Product buildup

Excess oiliness

Tenderness or soreness

Redness or irritation

Burning sensation

Shedding

Thinning areas

Edges thinning

Protective-style tension

I’m not sure

None, I just want better scalp care

How long have you been experiencing these concerns?* This field is required.Check all that may apply

Less than 1 month

1–3 months

3–6 months

6 months–1 year

More than 1 year

It comes and goes

Not applicable

How often does your scalp feel itchy, tight, flaky, oily, or uncomfortable?* This field is required.

Rarely

Sometimes

Weekly

Several times a week

Daily

Mostly when wearing protective styles

Do you notice flakes on your scalp?* This field is required.Check all that may apply

Yes, small dry flakes

Yes, oily or yellowish flakes

Yes, thick scaling

Only after protective styles

I’m not sure

How often do you cleanse your scalp?* This field is required.

Weekly

Every 2 weeks

Every 3–4 weeks

Monthly or longer

Only when removing a protective style

I’m inconsistent

I’m not sure what is best

What styles do you wear most often?* This field is required.Check all that may apply

Natural styles

Silk press

Sew-ins

Wigs

Braids

Twists

Locs

Clip-ins

Ponytails

Bridal/event styles

I switch often

I don't do much to my hair

Other

Do protective styles usually cause discomfort?* This field is required.Check all that may apply

No, they feel comfortable

Sometimes

Yes, my scalp feels tight or sore

Yes, my edges or scalp feel stressed

I do not wear protective styles

What best describes your hair right now?* This field is required.Check all that may apply

Dry

Breaking

Shedding

Tangling easily

Lacking shine

Heat-styled often

Color-treated

Relaxed

Natural

Transitioning

Wearing extensions often

Healthy, just needs maintenance

Is your scalp ever painful, inflamed, bleeding, or does it have open areas?* This field is required.Check all that may apply

Sometimes tender, but no open areas

Yes, painful or inflamed

Yes, bleeding or open areas

I’m not sure

What is your biggest scalp or hair goal right now?* This field is required.Check all that may apply

Healthier scalp

Less itching or flaking

Less buildup

More hydration

Hair growth support

Better protective-style prep

A healthy sew-in or wig foundation

A relaxing head spa reset

Bridal/event hair prep

I need help figuring it out

Are you interested in reserving an appointment or learning more about DivineHairCare?* This field is required.

Yes, I’m interested in September 2026

Yes, I’m interested in October 2026

Yes, but I’m not ready to reserve appointment yet

I only want scalp-care education for now

I’m already a client

What is your email address?* This field is required.We’d love to send a summary of your assessment results, along with DivineHairCare recommendations for your next steps, directly to you.

example@example.com

Stay Connected with DivineHairCare

Yes, I’d like to receive scalp + hair care education, appointment openings, new experiences, product updates, and occasional offers from DivineHairCare.

New Guest Assessment PerkNew guests receive $20 toward their first recommended DivineHairCare experience when reserved within 14 days of completing the assessment. Complete the full assessment and click Submit at the very end to reveal your credit code. Please use the same email address for your assessment and reservation. New clients/guests only. Cannot be combined with other offers.

InterestedNot at this time

Based on your answers, your scalp may need extra care before receiving certain salon or styling services. If you are experiencing scalp pain, open areas, bleeding, intense inflammation, burning, or sudden hair loss, it may be best to pause styling and seek guidance from a dermatologist or licensed healthcare provider. DivineHairCare does not diagnose or treat medical scalp conditions, but we can support visual scalp education, gentle service planning, and referral recommendations when appropriate. Scalp Reminder: Pain, bleeding, open areas, or severe inflammation should not be ignored or covered with a style.

Next Step:

If your scalp is painful, bleeding, open, or severely inflamed, seek medical guidance before booking a styling service.

Stay Connected:
Follow @DivineHairCare for scalp-care education and future appointment updates.

Based on your answers, your scalp may need better preparation before your next protective style, sew-in, wig, braid, or extension install. Protective styles can be beautiful and convenient, but your scalp still needs cleansing, hydration, and tension awareness. If your scalp feels tight, sore, itchy, flaky, or stressed after styles, it may be time to focus on the foundation first. Scalp Reminder: Protective styles should not feel painful. If your scalp is sore, burning, or your edges feel stressed, pause and reassess before your next style.

Next Steps:

Reserve Your Scalp Experience

For personalized scalp analysis, scalp care, and service planning.

Shop the Scalp Elixirs

Support your scalp at home with DivineHairCare scalp elixirs.

Follow @DivineHairCare
For scalp-care education, service openings, and hair wellness tips.

Based on your answers, your scalp may benefit from a deeper reset, more consistent cleansing, and intentional hydration support. You may be experiencing signs of buildup, dryness, flaking, oil imbalance, or scalp discomfort. This does not mean anything is wrong with you — it simply means your scalp may need more focused care than a basic shampoo routine. Scalp Reminder: For most people, cleansing every 7–14 days is a helpful starting point, especially when dealing with itching, flakes, or buildup.

Next Steps:

Reserve Your Scalp Experience

For personalized scalp analysis, scalp care, and service planning.

Shop the Scalp Elixirs

Support your scalp at home with DivineHairCare scalp elixirs.

Follow @DivineHairCare
For scalp-care education, service openings, and hair wellness tips.

Based on your answers, you may not need an urgent scalp reset, but your scalp and hair can still benefit from consistent maintenance and education. Scalp care is not only for concerns — it is also for prevention, comfort, healthy hair habits, and long-term hair goals. Scalp Reminder: Healthy hair starts with a cared-for scalp. Consistency, gentle cleansing, hydration, and low-tension styling matter.

Next Steps:

Reserve Your Scalp Experience

For personalized scalp analysis, scalp care, and service planning.

Shop the Scalp Elixirs

Support your scalp at home with DivineHairCare scalp elixirs.

Follow @DivineHairCare
For scalp-care education, service openings, and hair wellness tips.

DivineHairCare Scalp Wellness Assessment