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Email address*
Instagram
Where do you currently live?
USA
Canada
Ireland
UK
Poland
Hair Type
Thick
Thin
In between
Damaged
Oily
Dry
Curly
Wavy
Straight
Split Ends
Frizzy
Long
Short
Very long
If oily, after how many days?
1-2 days
2-3 days
3-4 days
4+
Not oily
How often do you wash your hair?
Everyday
Every 1-2 days
Every 3-4 days
Other
Is your scalp:
Oily
Dry
Itchy
Flaky
None of the above
After washing do you:
Blow Dry
Air dry
Curl/ Straighten
What are your primary hair concerns?
Frizziness
Damaged
Hair loss
Thickening/ More Volume
Thinning
Hydration
Maintaining my colour
Oil Control
No major concerns
Any allergies?
What are your main hair goals?
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