1. Is your hair in need of moisture and repair?

Do you have dry hair, split ends, dullness, frizz, damage, and breakage?

Yes

No

2. Is your hair in need of more fullness?

Do you have fine hair , thinning, hair, shedding, a thinning hairline or partline?

Yes

No

3. Is your hair oily?

Do you have an oily or sweaty scalp, product build up, or scalp flakiness?

Yes

No

Name *

First Name

Last Name