JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Hair Consultation
We are the #1 luxury vegan hair care brand in North America offering naturally based products that grow and anchor the hair. Bringing the best of both nature and science creating the first and only anti-aging clinically- tested hair-care line in the world. We say NO to toxic ingredients and offer products that are not only effective, but are naturally based, cruelty-free and vegan.
✅ NO SILICONES!
✅ NO SULFATES!
✅ NO PARABENS!
✅ NO HARSH CHEMICALS!
✅ NO HARMFUL FRAGRANCES!
✅ 100% VEGAN
✅ LEAPING BUNNY CERTIFIED
✅ GLUTEN-FREE!
✅ NATIONAL HAIR LOSS ASSOCIATION APPROVED!
Fill this consult out below and I'll make sure to recommend products that are perfect for your hair type + needs.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Where are you located?
US
Canada
Ireland
Poland
Spain
UK
Lithuania
Other
Clear selection
Instagram:
Your answer
Name:
Your answer
What is your hair type?
Curly
Wavy
Straight
Kinky, Coarse
How is the Density of your hair?
Thick
Thin
In between
How is your scalp? Check all that apply.
Oily
Dry and/or Dandruff
Sensitive
Normal
How are your ends? Check all that apply.
Dry/split ends
Damaged
Oily
Is your hair treated with any chemicals? Check all that apply.
relaxer/keratin
color- treated.
No.
Do you use any type of heat on your hair? Check all that apply.
Blow-dry
Flat iron
Curling iron
NO, air dry
How often do you wash your hair?
everyday
every few days
2-3 times a week
once a week
How do you style your hair? What products do you use?
Your answer
Do you have any hair/health concerns? allergies, post-partum hair-loss, hair-loss of any kind, dandruff, THINNING?
*
Your answer
What are your #hairgoals? (ex: I'd like my hair to have more shine, volume,thickness, growth etc.)
*
Your answer
Do you have a budget when purchasing products?
Yes, under $100
No, I'm open to anything that will help my hair needs.
Yes, $100-$150
Clear selection
Would you be interested in earning a residual income from your phone?
*
Yes
No
Required
Do you have any questions or comments?
*
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms