Let's Get to Know Your Hair

Please provide your details so we can offer the best hair care recommendations.

Male
Female


What is your Hair Height?

Long
Short
Mid-length

What is your Hair Type?

Straight
Curly
Coily
Wavy

Do you experience more hair fall than usual?

Yes
No
Offten

How would you describe your Hair Quality?

Good
Damaged

What issues are you facing with your hair?

Split Ends
Dandruff
Scaly Scalp
Itching Scalp
Dryness
Frizziness
Dullness
Thinning Hair


How often do you wash your hair?

Daily
2 or 3 times per week

Are you currently in any of these stages?

None
Pregnancy
Planning for a Baby
Post-pregnancy
Lactating Mother
Menopause

Are you under any medication or experiencing any of these problems?

None
Blood Pressure (BP)
Sugar (Diabetes)
Thyroid
Asthma
Allergic Rhinitis
Liver Cirrhosis
PCOD/PCOS
Anemia



How would you describe your sleep pattern?

Peaceful
Sound Sleep
Breaking
Disturbed
Difficult in Sleeping

How many hours of sleep do you usually get?

Less than 6
6 to 8
8 to 10

How stressed are you?

Not at all
Low
Medium
Very Stressed

Do you have constipation?

Yes
No
Sometimes
I have IBS

Do you have gas or bloating?

Yes
No
Sometimes

Do you have acidity or indigestion?

Yes
No
Sometimes

How often do you apply oil to your hair?

Daily
Never
Sometimes
Before Wash

Thank you!

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