Hair Quiz
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Birthday
*
-
Month
-
Day
Year
Date
Is your hair...
*
Straight
Curly
Wavy
Coiled
Is you scalp ?
*
Oily
Dry
Normal
Is your hair
*
Thin
Medium
Thick
Coarse
Is dandruff an issue?
*
Yes
No
How enough do you wash your hair ?
*
1-2 times a week
2-3 times a week
3-4 times a week
4-5 times a week
Other
How is your hair texture ( select all that apply)
*
Frizzy
Dry
Oily
Damaged
Other
Split ends
*
Yes
No
Processed (colored/chemically treated)
*
Yes
No
How do you style your hair? (Select all that apply)
*
Flat iron
Curls
Air dry
Blow drying
Your main hair goal
*
Are you allergic to peanuts, nuts or soy?
*
Instagram name/ social media name
*
Best way to contact you
*
Text
Social media
Email
Interested in the business ?
*
Yes, tell me more
No, just the products
Not sure
Upload a picture of your hair
*
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