I currently use(Circle all that apply)
Cleanser Anti-age serum Moisturizer Toner Exfoliator Pore Minimizer Dark Spot Remover Eye Cream
Overall Skin Type(Circle One)
Dry Oily Normal Combination Acne Sensitive
Favorite skin care brand and why?
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What is your hair type? ( 1-4)
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What types of products do you use in your hair?(Circle all that apply)
Shampoo Conditioner Deep Conditioner Hot oil Treatment Leave-in conditioner Hair Oil Mousse Hair Gel
How often do you use these products?
_______________________________________________________________________________________________.
What are your problems and or concerns regarding your natural hair?
_______________________________________________________________________________________________.
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