1.Name and best way to contact

2.Hair Density:

Thick

Thin

Somewhere in between

3.Hair Texture:

Coarse (rough)

Fine (soft, smooth)

I'm not sure

4.Is your hair NATURALLY:

Straight

Curly

Wavy

5.Is your hair dry?

Yes, all over

A little, mostly on the ends

No

Other (please specify)

6.How often do you wash your hair?

Daily

Every other day

Every 3-4 days

5-7 days

Very infrequently, once every 10+ days

7.Check all that applies to your hair:

Color damage

Heat damage

Split-ends

Frizz

Thinning

Dull, lifeless

Hard to manage

8.How do you typically style your hair?

Air dry

Blow Dry

Straighten

Curling Iron

Leave natural most of the time

I wear it up often

9.How is your scalp?

Dry, flaky

Itchy

Sensative

Oily

Seems normal, not affected by products

I have eczema

I have psoriasis

10.Are you thinning/balding?

Yes

No

Not that I know of, but would like to pevent