Hair Goals, on the way!
Hey there! Shoutout to you for making the first step to healthier hair! My name is Fraziae and I’ve partnered with the #1 luxury hair care line in North America that provides naturally-based, safe, pure and sustainable hair products that are suitable for ALL hair types. Monat is the first anti-aging hair care line on the market offering you products that promote growth and repair the hair from the inside out.

I’ve created a quick hair quiz to help me figure out what products will be best for your hair type. I will then use your responses to create a personalized hair care system that is specific for your hair needs! I’m so excited to get you on this transformation journey with Modern Nature!

✓Cruelty Free❤️
✓Vegan🌱
✓No Toxic Ingredients🚫
✓Leaping Bunny Approved🐰
✓National Hair Loss Association Approved⚡️

Our products DO NOT contain any of the following:
parabens, sulfates, gluten, harmful salt systems, harmful colors, harmful fragrances, cyclic silicones, BHT, DEA/MEA, polyethylene glycol, phthalates, phenoxyethanol, petrolatum, mineral oil, paraffin wax, triclosan, plastic microbeads, formaldehyde releasers

Please answer the questions below, as it will help us customize the perfect hair care system for your hair wants & needs!

*Side note: If joining me through a partnership with this amazing brand, supporting products that work, making money just by using your phone and being provided with a team of goal-oriented individuals like yourself interest you, please feel free to message me! Let's chat!

Xoxo, Ziae

Now let's get you closer to your hair goals!

Sign in to Google to save your progress. Learn more
First and Last name *
Phone number *
Email *
Birthday *
MM
/
DD
/
YYYY
IG handle (your "@" name)? *
Hair Color *
Do you color your hair? *
If yes, how often do you color your hair?
Clear selection
Is your hair currently relaxed or natural? *
How would you describe your hair naturally? *
What is your hair type? (if you don’t know, send me a picture of your natural hair!)
Clear selection
If you have loc'd hair, what is your current locking stage?
Clear selection
Do you know your hair porosity? (If “yes”, answer next question, if “no”, message me to learn how to determine your hair porosity) *
What is your hair porosity?
Clear selection
What is your current hair length? *
Is your hair thick or thin? *
How do you style your hair on a day-to-day basis? *
Do you have a dry/flaky scalp? *
If sometimes, when is your scalp dry/flaky?
Do you have sensitive skin? *
Do you have oily roots? *
How often do you wash your hair? *
What are your main hair concerns? Check all that apply *
Required
If you have dry/course hair, describe where
If you're having thinning/balding, give details
Any other concerns you'd like to share? (excess shedding, dandruff, ect...)
What are your Hair Goals? Check all that apply *
Required
Is the health of your hair and skin important to you? *
Are you ready to start your hair transformation? *
Are you interested in some amazing skin care products also?
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy