Healthy Hair Quiz - The Renee’ Collection

In this questionnaire, we will ask a series of questions to understand your unique hair needs and goals, lifestyle, and environment so we can formulate your custom haircare products and supplements and provide your recommended routine.

This questionnaire should take about 5 minutes 😊

How did you hear about us?*

First and Last Name*

Phone Number*

Email Address*

Date of Birth*

Do you have any allergies ?*

If yes, what are you allergic to?

What is your blood type?*

Do you know your Blood Type Diet recommendations?*

Yes

No, I would like to recieve recommendations

Do you take any of the following medications:*

What is your hair texture ?*

What is your hair structure?*

Fine

Medium

Coarse

I don't know

Whats the length of your hair completely stretched out ?*

How often do you get split ends ?*

Very often

Not often

None in sight

What is your hair's porosity (how well your hair retains moisture) *

Low

Normal

High

I'm not sure

How would you rate the condition of your scalp?*

What does a single strand of hair feel like?*

Fine/Thin

Medium

Thick/Coarse

How dense is your hair?*

Very dense (i see very little to no scalp)

Medium (I can see a little scalp/skin)

Low Density(I can see a wide part)

Does it seem like your hair is shedding more than normal?*

Yes

Sometimes

No

Is Hair Loss a genetic issue in your family?*

Yes

No

I don't know

How often do you wash your hair*

Very often (everyday or every other day)

Often (every 1-2 weeks)

Sometimes (once a month)

Barely ( every 2-3 months)

Never (1-2 times per year)

Do you have a wash day routine*

Yes

No, I need a recommendation

After a wash how long does it take for your hair get oily again?*

Are you prone to flakiness ?*

No

Barely

Yes, often

Do you have a sensitive scalp?*

Not at all

Sometimes (off and on)

Yes, its super sensitive

Do you have any gray hair ?*

None

Nearly all gray

About half gray

A few grays

Is your hair color-treated?*

Yes, my hair is colored or lightened

Im transitioning out of a color

No, my current color is 100% natural

Has your hair had any textural treatments?*

No, my hair is natural

Keratin

Perm or relaxer

What do you use to style your hair?*

How often do you buy hair products?*

Daily/Weekly

Monthly

Every other month

What is your spending average when purchasing hair products?*

$0-$25

$26-$50

$51-$100

$100+

What styles do you plan to wear in the future?*

How often do you curl or straighten your hair?*

What describes your ideal hair routine?*

Very minimal but healthy

More than basic, but nothing too fancy

I want long & luxurious hair

Are you currently *

What makes up the majority of your diet?*

What is your daily water intake*

Less than 3 glasses

4-6 glasses

7-8 glasses

More than 8 glasses

Does your hair retain odors from food or smoke?*

All the time

Yes, sometimes

I never noticed

What are your recent stress levels?*

Have you experienced any of the following in the last 6 months ?*

Medical treatments that affect hair or scalp (chemo, thyroid treatments )

Diagnosed with a hair or scalp condition (psoriasis or eczema)

Stopped or started a new medication(birth control or insulin)

Major stressful event( job loss, surgery, breakup, bereavement)

None of the above

On average, where do you work out?*

What city will you be spending most of your time in the next 12 months*

What are your hair goals?*

Any specific haircare ingredient preferences?*

Vegan

Slilicone-free

No thanks

Would you like a supplement recommendation?*

Yes, I would like to achieve overall wellness

No thanks, I have a routine

Choose your product subscription frequency*

Once a month

Every Other Month

Every 3 months

One time order (full price)

What name do you want on your custom labels ?*

Are you under the Primary Care of a Healthy Hair Specialist?*

Yes, I just need product recommendations

No, I would like to join the Healthy Hair Spa & Salon Membership