Haircare and Skincare Quiz
My hair is...(check all that apply)
Fine
Medium
Thick
Wavy
Curly
Straight
Frizzy
Thinning
Healthy
Damaged
Other
My scalp is...(check all that apply)
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Oily
Dry/Flakey/Dandruff
Normal
Other Scalp issues
I wash my hair every...
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1 to 2 days
3 to 5 days
5 to 6 days
Longer
How often do you use heat?
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Daily
Few times per week
Weekly
Never
What hair products are you currently using?
*
My skin is
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Oily
Dry
Combination
My skin issues are...(check all that apply)
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Acne
Age Spots
Fine Lines and Wrinkles
Sun damage
Under eye bags
Dark Circles
Crows feet
Sensitive
Rough
What skincare products are you currently using on your face in the am or pm?
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Which of these apply to you?
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Dryness from powdered blushes and bronzers?
Puffy Eyes
Short Eyelashes
Short Eyebrows
Lip lines
Sensitivity to setting powders
What makeup products are you currently using?
*
I would like... (check all that apply)
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Better sleep
More energy
Better mood
Better focus
Better metabolism
Better digestive health
Better gut bacteria
Protein supplement
Greens Supplement
What wellness products are you currently using?
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lf I could help You with three things regarding your Hair, Skin or Wellness. What would they be? (less frizz, anti-aging, more energy, etc?
*
List all food allergies including food OR type none!
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Name
*
First Name
Last Name
Email
*
example@example.com
Cell Phone Number (incase I have questions OR you are a winner!
*
Please enter a valid phone number.
Format: (000) 000-0000.
How would you like to be contacted?
*
Phone call
Email
Text
Submit
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