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Hair Quiz
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* Indicates required question
Which of these 10 countries are you located in?
*
USA
Australia
Canada
United Kingdom
Ireland
Poland
Spain
Lithuania
Mexico
Columbia
Other:
What is your name?
*
Your answer
What is your phone number?
Your answer
What is your Instagram handle? (ex: @kelseyjonveawellness)
*
Your answer
How old are you?
*
Your answer
Is your hair...
*
thick
thin
in between
Is your scalp...
*
oily
dry
normal
Is your hair...
*
dry
frizzy
both
neither
limp and lifeless
other
How often do you wash your hair?
*
Your answer
Do you have split ends + breakage?
*
yes
no
Is dandruff an issue?
*
no
yes
sometimes
Is your hair . . .
*
straight
wavy
curly
Other:
How do you style your hair after washing? + How often do you use heat?
*
Your answer
Are you experiencing hair loss?
*
thinning at hairline
thinning all over
balding
no
What are your main hair concerns?
*
Your answer
What products do you currently use?
*
Your answer
Are you interested in...
*
Purchasing products to repair my hair
The business
Both
What is your budget?
*
$100-$150
$150-$200
$200 +
Did anyone refer you, and if so who?
Your answer
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