1 OF 17: HAIR STRAND
What does your individual hair strand look like?
Rub a single strand of hair between your fingers.
How does it feel?
2 OF 17: HAIR FULLNESS
How full is your hair?
Part your hair and check your hairline.
What do you see?
3 OF 17: HAIR CONCERN
What are your biggest hair concerns?
(Pick all that apply)
4 OF 17: HAIR LOSS
What are the suspected and/or diagnosed causes for your hair loss?
(Pick all that apply)
5 OF 17: HAIR GOALS
What are your hair wellness goals?
(Pick all that apply)
6 OF 17: HAIR TREATMENT
Do you color or chemically treat your hair?
(Pick all that apply, click next if none)
7 OF 17: HEAT STYLING
How often do you heat style your hair?
8 OF 17: NATURAL HAIR COLOR
What is your natural hair color?
9 OF 17: GREY HAIR SCALE
How much grey do you have?
10 OF 17: HAIR ROUTINE
How often do you
wash your hair?
11 OF 17: STRESS
How often do you feel worried, anxious or stressed?
12 OF 17: ACTIVITY
How active are you?
13 OF 17: SLEEP
How many hours of sleep do you get every night?
14 OF 17: MINDFULNESS PRACTICE
How do you manage your stress?
(Click all that apply, click next if none)
15 OF 17: NUTRITION
On a daily basis I eat...
(Pick all that apply)
16 OF 17: AGE (OPTIONAL)
How old are you?
(optional)
17 OF 17: LOCATION (OPTIONAL)
Where do you live?
(optional)
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