First Name
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Last Name
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Email
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Phone
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Preferred method of contact
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What are your main hair concerns you have?
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What are your hair goals?
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Check the boxes that describe your hair
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Straight
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Thick
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Is your hair
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Frizzy
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Is your scalp
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How many times a week do you wash your hair?
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How do you style it?
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Are you interested in
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Trying the products
Starting the business
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What is your budget to get started?
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