Lemongrass Spa Hair Consultation Quiz

BeYOUtiful Skin with Lisa (Lemongrass Spa)

Hair care consultation form
Name*

First NameLast Name
Phone Number

Area CodePhone Number
Email*
example@example.com
Preferred method of communication:*

TextEmailSocial media messaging
Great! Now, What is your hair type?*

StraightWavyCurly
What is your hair texture?*

Thin/FineMediumThickCoarse
What is your hair density?*

Very ThinSomewhat ThinNeither Thin nor ThickSomewhat ThickVery Thick
Is your hair color treated?*

YesNo
Is your scalp:*

OilyDryNormal
How oily does your scalp get within two days of washing?*

Not OilySomewhat OilyVery Oily
How often do you wash?*

Every dayEvery other dayEvery 3-4 daysOnce a week
Is dandruff or flakiness an issue?*

YesNoSomewhat
“My hair is...”*

DryLimpFrizzyBrittle (breaks easy)Damaged from heatDamaged at the ends (split ends)Chemically over-processedNone of the aboveOther
How often do you apply heat?*

NeverOnce in a while2-3 times a weekDaily
How do you prefer to style your hair?*

Air-dried and styledBlow-dried and styledOther
What products do you use to style your hair?*
What is your biggest concern?*
What are your ultimate hair goals?*
What are you interested in?*

Trial size to start (shampoo/conditioner)Hair care products (balms, styling, etc)Full size products
Are you interested in our other beauty lines?*

SkincareBaby careClean Makeup
Would you like to earn products for free?*

Of course!Give me details firstNot at this time, thanks
Should be Empty:

BeYOUtiful Skin with Lisa (Lemongrass Spa)