Club Soda - New Member
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1.
Full Name
(Required.)
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2.
Age
(Required.)
Under 18
18-24
25-34
35-44
45-54
55-64
65+
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3.
What is your gender?
(Required.)
Female
Male
Other
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4.
What type of hair do you have?
(Required.)
Natural Brunette
Natural Blonde
Natural Red/Orange
Natural Black
Coloured/Treated Brunette Hair
Coloured/Treated Blonde Hair
Coloured/Treated Red/Orange Hair
Coloured/Treated Black Hair
Other (please specify)
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5.
What is your mailing address?
(Required.)
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6.
What is your email?
(Required.)
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7.
What is your contact phone number?
(Required.)
8.
Why do you love My Soda?
9.
If you currently use My Soda, what is your favourite product?
10.
What product/s do you use for yourself?
My Soda Smooth Shampoo & Conditioner
My Soda Hydrate Shampoo & Conditioner
My Soda Cleanse Shampoo & Conditioner
My Soda Moisture Boost Recovery Hair Mask
My Soda Soda Frizz Tamer Smoothing Oil
My Soda Sea Salt Texture Spray
My Soda Lime Drenched Coconuts Body Wash
My Soda Tropics In Bloom Body Wash
11.
Do you buy My Soda products for anyone else in your household?
Yes
No
Please specify who
12.
If yes, who do you buy for?
Children 13 to 17 years
Young adults 18+
Partner
Parents
Other
13.
What product/s are you interested in testing?
Shampoo & Conditioners
Hair Treatments
Body Wash products
Hand Wash products
Skin Care products
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14.
I agree to receive promotional material from My Soda
(Required.)
Yes
No