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hair quiz
First name
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Last name
Email
*
Instagram Handle (not required)
Address
Scalp Issues?
*
Dandruff
Itchy
Combo
Scalp Type?
*
Oily Very Fast
Oily After a Few Days
Mostly Dry
Texture?
*
Straight
Wavy
Curly
Fine
Course
Density
*
Thin
Medium
Thick
Styling?
*
Air Dry
Blow Dry
Apply Heat
Wash?
*
Every day
Every other day
1-2 times per week
Color & Condition
*
Bleached
Colored
Healthy
Damaged
Breaking Off
Common problem: (select all that apply)
*
Frizzy
Thinning
PP Hair Los
Sensitive
Psoriasis
Please mention any other hair concerns, overall goals & most products used
How would you like to be contacted?
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