Hair Consult
Did you know it is normal to lose 50 to 100 strands of hair per day?

Modern Nature (MONAT) is bringing you the ultimate combination of both Nature AND Science together, creating the first and only anti-aging clinically tested hair care line in the world!
We say no to: silicones, sulfates, parabens or harsh chemicals!
We are: gluten free and vegan as well as LEAPING BUNNY approved!

I am so happy to help you on your journey to healthy hair.

My goal is to help achieve the hair of your dreams and gain more confidence in life with beautiful hair.
Please answer the following questions below, so I can help you achieve your hair goals.

xo
Angel
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Where are you located? (must know, so I can get in contact with you either through text (US) or IG (other countries) *
First name *
Last name *
Email address *
Phone number *
Instagram account (n/a if none) *
What is your scalp moisture like? *
Required
Hair Length *
Hair Texture *
Hair Type *
My hair is currently... *
Required
How often do you wash your hair? *
How do you dry your hair? *
How often is heat applied to your hair? *
How much time is spent on your hair? *
Hair Goals: What do you want to see MORE of? *
Required
Hair Concerns: What do you want to see LESS of? *
Required
What is your normal wash routine? (Products used prior/during/post wash, how often you brush your hair, etc.) *
Anything else you would like me to know? (specific concerns, allergies, eczema, psoriasis, etc.) *
Who referred you so I can thank them? (if applicable)
I am interested in... *
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