Healthy Hair Quiz
This free hair quiz is apart of your free consultation and must be completed prior to your consultation call.

With these questions I will be able to recommend which package will be right for you.
Is your hair longer than it was 1 year ago?*
Yes
No
I cut it by choice
Are you experiencing or flaky scalp?*
Yes
No
Are you experiencing any of the following conditions *
Shedding
Thinning
Dandruff
Dry scalp/ Dry Hair
Hair Loss/ Alopecia
Are you taking any of the following medications ?*
High Blood Pressure
Cholesterol
Birth Control
Gut Health
Whats your #1 hair goal?*
Whats your biggest frustration with your hair?*
How does your hair/ scalp make you feel ?*
Is there a specific area that needs attention?*
Temple (edges)
Nape (neck area)
Crown (top of head)
If you could wave a magic wand and solve your hair/ scalp problems, what would you want to change ?*
Do you have any allergies? If so please list them here*
First Name*
Last name *
Whats your age range?*
18-24
25-34
35-44
45-54
55+
I am completing this quiz for my minor 17<
Phone number*
Email address*