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* 1. What is your name?

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* 2. What is your email address?

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* 3. What caused your hair loss? (ex. glue from wigs, tension from braids, etc.)

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* 4. What have you already tried to grow your hair?

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* 5. What do you wish to get out of the 60 day challenge?

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* 6. What are your long term hair goals?

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