Hair Consultation
We are the #1 hair care brand in North America offering naturally-based products that grow and anchor the hair. We are bringing YOU the best of both nature and science, using only the finest quality and high-performing ingredients from all over the world. We are anti-aging, clinically-tested, cruelty-free, vegan, naturally based, and designed to improve quality of hair, scalp and skin.
NATIONAL HAIR LOSS ASSOCIATION APPROVED
Name
*
Phone #
*
Instagram Handle
What Is Your Hair Type?
*
Straight
Curly
Wavy
Coiled
What Is Your Hair Density?
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Thin/Fine
Medium
Thick
Is Your Hair Color Treated?
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Yes
No
Is Your Scalp...
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Oily
Dry
Normal
How Often Do You Wash?
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Every day
Every other day
Every 3-4 days
Once a week
Is Dandruff or Flakiness an Issue?
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Yes
No
My Hair Is... (select all that apply).
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Dry
Limp
Frizzy
Brittle (breaks easy)
Damaged From Heat
Thinning
Receding (receding hairline)
Has Split Ends
Chemically Over-Processed
None of the above
Other
How Often Do You Apply Heat?
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Never
Once in a while
2-3 times a week
Daily
How Do You Prefer To Style Your Hair?
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Air-dried and Styled
Blow-dried and Styled
Only Air-dried
Only Blow-dried
Other
What Products Do You Use to Style Your Hair?
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What Products Do You Use to Wash Your Hair?
*
What is Your Biggest Concern?
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What Are Your Ultimate Hair Goals?
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I'm Interested In...
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Purchasing the Products
Earning an Extra Income (+30% - 55% off!)
Are You Interested In Any of Our Other Lines?
*
Skincare
Men's Line
Junior Line
Pet Line
Not Right Now
Other
Submit
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