Florae Hair Wellness Survey- 2023
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1.
What is your age range?
(Required.)
18-25
26-34
35-49
50 +
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2.
Please list your current hair type?
(Required.)
Type 1 (Straight); Not applicable
Type 2 (Wavy)
Type 3 (Curly)
Type 4 (Kinky- Coily)
Other (please specify)
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3.
What are your biggest issues with the current haircare market?" Please be as specific as possible.
(Required.)
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4.
What is the current state of your hair?
(Required.)
Natural
Relaxed/Permed
Protectice-styled
Color-treated
Heat-styled
Other treatment- i.e. Keratin
Other (please specify)
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5.
Are you taking any medications for the various conditions listed below or had any of the recent health occurences?
(Disclaimer: Health Data will be protected according to HIPPA laws. Why we ask? Some medications can have a direct affect on key nutrients in your body, pulling them away from sources like hair, skin, and nails. While we don't completely promise to reverse this will topical solutions, knowing this information helps us share insights that may be best for you as well as evaluate personalized product suggestions).
(Required.)
Recent Surgery
Frequent Bacterial Infections
Mood Disorders
Epilepsy
Thyroid Dysfunction
Polycystic Ovarian Syndrome (PCOS)
Other Hormonal Disturbances (ie. pre, post, and peri-partum)
Hypertension (High Blood Pressure)
None of the above
Prefer not to answer
Other (please specify)
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6.
Select your #1 hair challenge
(Required.)
Reduced edges
Dry/Damaged- heat styling
Dry/Damaged- color-treated
Dry/Damaged- normal wear and tear
Dandruff
Frizz
Dull
Sensitive scalp - unknown
Sensitive scalp- Seborrheic Dermatitis, Scalp Eczema or other diagnosed condition
Hair Shedding- Postpartum
Mild/Moderate Hair Loss
Hair Thinning- Other Hormonal (ie PCOS, Menopause etc.)
Significant Hair Loss
Other (please specify)
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7.
When you hear the words "personalized haircare" what do you think of? (Ex. Products, Experience, Customer Service)
(Required.)
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8.
Select Your #1 Hair Goal
(Required.)
Growth/Length
Volume
Hydration
Shine
Definition (curls)
UV Protection
Other (please specify)
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9.
Do you currently use any of these products? If not, please submit which products you use in the text box.
(Required.)
Shea Moisture
CURLS
TGIN
Mielle Organics
CurlMix
Naturall Club
Alikay Naturals
Briogeo
Camile Rose Organics
The Mane Choice
Qhemet Biologics
Kinky Curly
Other (please specify)
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10.
Please enter your email for a chance to win a complete Florae Hair Wellness Collection!
(Required.)