Program for Relaxed Hair

Description

Includes a customized Relaxed Hair program written by the Hair Dr. Lisa Akbari’s Hair Nutrition System which includes a one month supply of three care products: 1) Cleansing, Clarifying, and Balance Shampoo, 2) Deep Penetrating, Protein Moisture and Stabilizing Conditioner, 3) Hair Vitamins Leave-in-Conditioner and support products which includes: 4) Oil Sheen in a Jar and 5) Moisture Plus Moisturizer, Sculptor Set .  Also includes The Black Woman’s Guide to Beautiful Hair.

Lisa Akbari Hair Products and Programs 

PLEASE FILL OUT > Lisa Akbari Hair and Scalp Questionnaire
CUT AND PASTE and email to lisa@lisaakbari.com once you pay for your order.
Be sure to send a photo of problem areas.
Contact Information:
Name: First _____________Last ____________________
E-mail ___________________________
Address _________________ City ________________ State___________________ Zip ___________
Phone number: _cell _________________ #2 number ____________________

Questionnaire: Hair
Is your hair Natural? ____
Do you have chemicals in your hair? _____
What type of chemical? ________________

If your hair is chemically treated? How often?
Is your hair long? Estimate how many inches? ____________
Does your hair feel dry? _____ Does your hair look dry? ____
Hair breaking? ____Daily? _____ When combing? ______
How do you wear your hair:

Questionnaire: Scalp
Does your- Scalp itch? Yes __ No __ Scalp flake? Yes __ No __ Feel tender and sore? Yes __ No __
Does your scalp burn? Yes __ No __ Does your scalp have bumps? Yes __ No __
Does your scalp have bald spots? Yes __ No __ Short broken areas? Yes __ No __

Bald Spots
Any Bald Spots: ____ Location of any bald spots: _________________
How long have you had balding? _________
Do you Shampoo your hair? _____How often? ______
Do you Condition your hair? ___ How often? ____
Do you use leave-in conditioner, if so how often?: _______

Describe your hair regimen: Other issues or challenges/ Tell us your hair story:
________________________________________________________________________
________________________________________________________________________
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