Healthy Hair Quiz
Hello Friends!
If you don't already know, my name is Brandi! I am partnered with the #1 luxury haircare line in North America; helping friends from all over the world transform their hair! We are the first anti-aging haircare line on the market offering you products that promote hair growth and repair from the inside out. I have created a fast and easy 30 second hair quiz to assist in the selection of products that will best suit you!
I am so excited to get you on this transformation with Modern Nature!

*Cruelty Free
*Vegan
*No Toxic Ingredients
*Leaping Bunny Approved
*National Hair Loss Association Approved

NO SILICONES
NO SULFATES
NO PARABENS
NO HARSH CHEMICALS
NO HARMFUL FRAGRANCES

Our products DO NOT contain any of the following:
-BHT
-Cyclic Silicone
-DEA/MEA
-Gluten
-Formaldehyde
-Releasers
-Harmful Colors
-Harmful Fragrances
-Mineral Oil
-Parabens
-Paraffin Wax
-Polyethylene Glycol
-Phthalates
-Phenoxyethanol
-Petrolatum
-Plastic Micro-beads
-Sulfates
-Triclosan

LET'S BEGIN!
Sign in to Google to save your progress. Learn more
Email Address *
First and Last Name *
Instagram Account *
Gender *
Phone Number *
Date of Birth *
MM
/
DD
/
YYYY
What color is your hair? *
Hair Description *
Hair Texture *
Hair Density *
Scalp Moisture *
Do you chemically treat your hair? *
What is your go-to hair style (CHECK ALL THAT APPLY) *
Required
How do you style your hair? (CHECK ALL THAT APPLY) *
Required
How often do you use heat? *
How often do you wash your hair? *
Main Hair Concerns (CHECK ALL THAT APPLY) *
Required
Ultimate Hair Goals *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Hawaii. Report Abuse
Google Forms