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1 – 7 1 Age Group *As we age our hair requires different needs. A. 20’s and younger B. 30’s C. 40’s D. 50’s E. 60’s+ Prev Next 2 – 7 2 Hair Type *Which hair type best describes you? A. Straight B. Tight curls C. curly D. wavy Prev Next 3 – 7 3 My Environment *Which one best describes your environment? A. Warm/Dry B. Warm/Humid C. Cold/Dry D. Cold/Humid E. Medium (weather fluctuates) Prev Next 4 – 7 4 Scalp Type *Describe your scalp 24-48 hours after washing. A. Dry B. Irritated/Flaky C. Oily Prev Next 5 – 7 5 My Hair Looks *What desired hair style are you looking to achieve each day? A. Natural: Fresh and Clean B. Dirty: Tossled w/ Grit C. Hair Styling Tools. Desired look other than my natural hair type(i.e. Blow Dryer, Flat Iron, Curling Iron, etc.) Prev Next 6 – 7 6 My Hair Ends *Describe your mid shaft to ends of your hair. A. Dry B. Brittle C. Healthy Prev Next 7 – 7 7 Please provide us with your email address. Email Prev Submit
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