Hair Health Assessment
What is your age?
Overall Hair Health
Are you currently experiencing hair loss?
When was your last cut/trim?
What is your hair pattern? (If you still receive Relaxers, choose Type A)
What is your Hair Porosity?
Your hair is...
Your scalp is...
CHECK ALL THAT APPLY: Are you taking any of the following medications?
CHECK ALL THAT APPLY: How Do You Normally Wear Your Hair?
Are you in search of a long term Hairstylist?
Share a pic of your hair (optional)
Upload File

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