The 90-Day Hair Reset Application

Your hair tells a story, and I am here to help you listen to it. Please answer as honestly as possible—there is no judgment here, only solutions.

Section 1: The Basics

Full Name *

Email Address *

WhatsApp Number * For your monthly check-ins.

Upload Hair & Scalp Photos * Please upload 2-3 clear photos. Natural lighting is best.

Section 2: Your Hair History

What is your natural hair colour and texture?

Which of the following have you had done in the last 18 months?

Box Dye Professional Bleach/Highlights Keratin Treatment Nanoplastia/Botox Relaxer None of the above

Do you currently wear extensions?

Yes No Occasionally

List the exact products you currently use on wash day. Include Shampoo, Conditioner, Treatments, and Styling products.

Section 3: Identifying the Symptoms

What is your biggest frustration with your hair right now?

Are you experiencing any of the following?

Heavy shedding from the root Breakage (short snapped pieces) Extreme dryness Oily scalp Dandruff or flaking Lack of growth

How does your scalp feel on a normal day?

Section 4: The Hair Truth Score

Healthy hair grows from a healthy body. Rate the following from 1 to 10.

Daily Stress Levels

1 (Very High Stress)10 (Completely Zen)

Sleep Quality

1 (Terrible)10 (Excellent)

Water Intake

1 (Hardly drink water)10 (2+ Litres a day)

Heat Styling Frequency

1 (Use hot tools every day)10 (Never use heat)

Section 5: Medical & Lifestyle Factors

As a professional stylist, identifying these factors helps me tailor your routine, though I may recommend seeing a doctor for underlying medical conditions.

Have you experienced any of the following in the last 12 months?

Postpartum / Childbirth Thyroid fluctuations Iron deficiency / Anemia Severe hormonal imbalances High fever or severe illness None of the above

Are you currently taking any daily medications or supplements?