Here we go, I make my diagnosis:

Your hair is ?
 Natural Permed Colored Highlighted Straightened
_____
 Thin Dehydrated Thick Dry Greasy
_____
 Short Medium-length (at the nape of the neck) Long (at the level of the shoulder blades)

What is the natural color of your roots? (NOT the color of your lengths)
 Browns Blonds Chestnut Roux Black

What percentage of your hair is white?
 0% 20% 40% 50% 70% 90% 100%

Have you ever done chemical colors?
 Yes No

If YES, for how long?
 Never Less than one year Between 1 and 2 years Between 2 and 5 years More than 5 years

Have you ever had a Brazilian straightening ?
 Yes No

Have you ever done a Tie and Dye?
 Yes No

How often do you shampoo?
 1 time per week or less 2 times a week more than 3 times a week

What type and brand of shampoo do you use?

Why do you use this shampoo?

Do you have dandruff?
 Yes No

If so, do they attach to the scalp?
 Yes No

Do you suffer from itching?
 Yes No

Do you suffer from hair loss?
 Yes No

If YES, how would you describe the intensity of this fall?
 Small amount Average amount Large amount

Are you pregnant?
 Yes No

Are you taking any medical treatment?
 Yes No

First name :

Last Name :

Your e-mail :

If other, specify:

Phone number
[if we need more details on the desired color ]: