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Beauty quiz
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1.
First and Last Name:
(Required.)
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2.
Cell phone #:
(Required.)
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3.
Is your scalp dry or oily?
(Required.)
Dry
Oily
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4.
What is your hair type? (select all that apply)
(Required.)
Fine
Straight
Wavy
Coarse
Thick
Curly
Other (please specify)
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5.
How often do you use heat on your hair?
(Required.)
Everyday
Once a week
Hardly ever
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6.
What are your hair goals?
(Required.)
Growth
Split end mending
Shine
Fix over-processed hair
Frizz control
Hydration
Volume
Fix tangles
Color Enhancement
Curl enhancement
Help with dandruff / dry scalp
Help with eczema / psoriasis
Help with thinning / balding
Other (please specify)
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7.
Describe your skin type
(Required.)
Dry / sensitive
Normal / combination
Oily / Acne Prone
Other (please specify)
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8.
Do you struggle with any of the following skincare concerns:
(Required.)
Patchy / uneven skin
Fine lines and wrinkles
Dark circles / under eye bags
Acne and blemishes
Dry / lacking moisture
Other (please specify)
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9.
Do you have any of these health concerns?
(Required.)
Need better Sleep
Need more Energy
Immune Support
More Greens in your Diet
Stronger Hair & Nails
Better Gut Health
Needing a protein shake
Other (please specify)
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10.
Are you also interested in an of the following:
(Required.)
Men’s skin/hair products
Body Care
Kids hair products
Pet products
None of the above
Other (please specify)