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* 1. What's your full name & email address?

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* 5. What are we working with here?

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* 6. Tell me about your ends? (select all that apply)

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* 7. Do you color your hair?

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* 8. How do you style your hair? (select all that apply)

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* 10. Anything else you want me to know about your hair? (Postpartum Hair loss, results you are hoping to see, etc.)

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