Hair Quiz
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Is your hair
*
Thin
Thick
Medium
Coarse
Is your hair
*
Straight
Wavy
Curly
Coiled
Is your hair treated?
*
Yes
No
How is your scalp?
*
Dry
Oily
Normal
Hows your hair texture (select all that apply)
*
Dry
Damaged
Frizzy
Oily
Other
How often do you wash your hair?
*
Everyday
Every other day
Every two days
Every three days +
Is dandruff an issue?
*
Yes
No
Somewhat
Whats your biggest hair concern?
*
What do you want more & less of in your hair?
*
How do you style your hair? (select all the apply that you mostly do)
*
Blow Dry
Blow dry & style (flat or curl iron)
Air Dry
Air dry & style (flat or curl iron)
How would you like to connect?
*
Text
Email
Dm
Instagram Name
Are you interested in the business?
*
I am opened to it !
Just the products please!
Yes, Yes, Yes!
Submit
Should be Empty: