✰ Let’s Get Your Hair Back on Track ✰
Fill out this quick questionnaire so I can create a customized system for you!

Sign in to Google to save your progress. Learn more
Email *
What is your first and last name? *
Instagram handle? *
How thick is your hair? *
Very thin
Very thick
Is the length of your hair... (select all that apply) *
Required
Is your hair *
How would you describe your scalp? *
Required
Are split ends an issue for you? *
How often do you airdry? *
How often do you wash your hair? *
How often do you apply heat to your hair? What heat tools do you use? Do you use heat protectant? *
What products do you use to style your hair? Gel, hairspray, mousse, frizz control oil etc.
What is your biggest hair concern/ issue you'd like to address? *
What is your cell phone number? *
I'm so excited to see your hair transformation! Feel free to send me before and after pictures if you're comfortable! Welcome to the healthy hair revolution!
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Androulakis.com. Report Abuse