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* 1. *What is your Fullname & Instagram handle?please provide both so I know who you are!

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* 2. *Cell phone number with area code ?

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* 3. *How would you describe your hair?

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* 4. *Is your hair

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* 5. *Does your hair get frizzy?

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* 6. *Do you air dry or blow dry more often?

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* 7. Do you have any scalp concerns? Irritations? Psoriasis? Eczema?

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* 8. Are you suffering from hair loss/thinning?

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* 9. *Is your hair damaged? ( heat- bleaching-split ends- chemical etc. )

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* 10. What is your biggest concern? What are your goals for your hair?

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