HOME
COVID UPDATE
Schedule Appointment
Hair Health Assessment
Natural Hair Products
Brides
Press/Features
Let's Chat
Meet Kinetra
Blog
More...

Subscribe to receive 20% off your total purchase at "With A Hipster Girl" Natural Hair Products which are available 3rd Fri-Mon of every month!

Hair Health Assessment

What is your age?

12 - 25

26 -35

36 - 45

46 - 55

55 and above

Overall Hair Health

Poor

Fair

Good

Excellent

Are you currently experiencing hair loss?

Yes

No

When was your last cut/trim?

Less than 3 months ago

3 - 6 months ago

6 - 9 months ago

9 - 12 months ago

Girl, I'm Ashamed To Say (lol)

What is your hair pattern? (If you still receive Relaxers, choose Type A)

Type A (Straight/Wavy)

Type B (Wavy/Curly

Type C (Curly/Tight Curly)

Unknown

What is your Hair Porosity?

Low

High

Normal

Unknown

Your hair is...

Normal

Dry

Oily

Combination

Your scalp is...

Normal

Dry

Oily

Combination

CHECK ALL THAT APPLY: Are you taking any of the following medications?

Cholesterol Lowering

Blood Thinners

Blood Pressure

Psoriasis Treatment

Acne Treatment

Steroids

None of the above

CHECK ALL THAT APPLY: How Do You Normally Wear Your Hair?

Ponytails/Pineapple

Twists & Braids

Twists & Braid Outs

Weave Extensions

Silk Pressed/Straightened

Other

Are you in search of a long term Hairstylist?

Yes

No

Share a pic of your hair (optional)

Upload File

Upload supported file (Max 15MB)

I accept terms & conditions

Thanks for submitting!

Georgetown, Texas 78626

Website Designed and Published by The Vintage Hipster

Copyright 2021

BCA2018-lp-logo_2x-faf0700717832c45f0cc1