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Healthy Hair Consult

Let's improve your beauty regimen & create your personal haircare system! I've partnered with a premium brand bringing you the best of both nature & science, all formulated into the most innovative anti-aging, clinically tested hair and skincare lines in the world.

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Question 1 of 13

Full Name

Question 2 of 13

Instagram Handle

Question 3 of 13

Email

Question 4 of 13

Preferred Method of Contact

A

Instagram

B

Email

Question 5 of 13

How much are willing to invest in yourself? What is your budget?

A

$50 - $120

B

$120 - $200

C

$200 or more

Question 6 of 13

What type of hair do you have?

A

Thin

B

Medium

C

Thick

Question 7 of 13

What type of hair texture do you have?

(Select all that apply)
A

Coarse

B

Curly

C

Frizzy

D

Wavy

E

Flat

Question 8 of 13

What type of scalp do you have?

A

Oily

B

Dry / Sensitive (redness, itchy, flaky)

C

Normal

Question 9 of 13

Do you have damaged/split ends, dryness or both?

A

Damaged Split Ends

B

Dryness

C

Both

D

None, my split ends are healthy

Question 10 of 13

Are you experiencing any hair loss/fall out and/or difficulty growing your hair?

A

Yes

B

No

Question 11 of 13

How many days per week do you wash your hair?

A

1 - 2 days

B

3 - 5 days

C

Daily

Question 12 of 13

How do you usually style your hair? (Day-to-Day)

A

Air Dry

B

Air Dry + Style with heat

C

Blow Dry

D

Blow Dry + Style with heat

Question 13 of 13

Share with me you hair goals. Tell me what you want to improve on with your hair. (i.e. Growth, split end repair, more hydration, volume, up keep my curls, scalp reset, etc.)

Confirm and Submit