7 Day Hair Health Reset Assessment Form

7 Day Hair Health Reset Assessment Questionnaire

Complete this quick assessment to find your personalized hair health reset path and get tailored advice. Answer each question honestly, based on what you are experiencing on most days. Select the best response if you have multiple responses to a question.
Name

First NameLast Name
Email
example@example.com
What is your biggest concern RIGHT NOW?*

My hair feels dry, brittle, and/or breaks easilyMy hair is shedding more than usual and/or looks thinnerMy hair is mostly in a protective style, but no growth
Have you had any Chemical Treatments within the last year?*

RelaxerColorOtherNone
When you handle your hair, what do you notice most?*

It snaps, tangles easily, or feels roughHair is coming out excessively (especially when detangling or washing)I rarely handle my actual hair because it’s styled/protectedNothing Special
How often do you use heat styling tools (blow dryer, flat iron, curling iron)*

Regularly (multiple times per week)Occasionally (few times per year)Rarely or Never
How often do you currently access your scalp and strands?*

Regularly (multiple times a week)OccasionallyRarely or not at all (braids, wigs, installs)
What happens at your ends?*

Dry, splitting, or breakingThinner than before or not retaining lengthHidden away / not sureThey Look Good
What does wash day usually feel like?*

Hair feels worse after washing (dry, tangled, breaking)I notice a lot of shedding/breakage during wash dayI don’t wash often because of my styleNon Event
How consistent is your hair routine?*

I try things but nothing worksInconsistent Routine / on and offRoutine depends on protective style
What best describes your current styling?*

A mix of natural styles (twists, wash & go)Mostly heat-styledBraids, wigs, weaves, or extensions most of the time
How does your scalp feel?*

Dry, tight, or itchyNormal or slightly off, but not the main issueCovered or hard to access regularly
Have you noticed a change in your hair density (thickness)?*

Just feels dry and fragileYes—thinner ponytail, widening part, or less fullnessHard to tell due to stylingNot Really
Be honest—what feels hardest right now?*

Keeping my hair moisturized and preventing breakageUnderstanding why my hair is shedding or not growingTaking care of my hair underneath my style
If nothing changes, what do you think will happen to your hair in the next 3–6 months?*

It will keep breakingIt will keep thinningI will be stuck in a wig or other coverageI don't know
CalcA
CalcB
CalcC
You have been assigned to Path A based on your responses to the assessment questions.

Path A – Dry / Breakage / Overwhelmed

Your hair is struggling with moisture and strength. You’re experiencing dryness, tangling, and breakage, which makes it hard to retain length. This 7-day path focuses on restoring hydration, strengthening strands, and preventing breakage so you can retain the growth you’ve worked hard for.
You have been assigned to Path B based on your responses to the assessment questions.

Path B – Shedding / Thinning / Inconsistent

Your hair is shedding or thinning faster than it’s growing. Inconsistent routines or scalp stress may be contributing. This path focuses on stabilizing shedding, improving scalp health, and creating a consistent routine your hair can respond to.
You have been assigned to Path C based on your responses to the assessment questions.

Path C – Protective Style Wearer

Your hair is mostly hidden under protective styles, making access difficult. Even if you notice dryness or shedding, the main issue is limited access. This path will guide you in caring for your hair underneath and between styles so your protective choices actually help your hair thrive.
Your hair is not confused. It’s responding to how it’s being treated. Let’s fix that.
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7 Day Hair Health Reset Assessment Questionnaire