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Becky B Hair
Award Winning Boutique Hair Salons
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North Lakes
Caloundra
Book Online
Home
Services
Haircut
Hair Colouring
Balayage
Foils and Highlights
Hair Colour Blocking
Hair Colour Correction
Hair Colour Removal
Hair Bleaching
Scalp Bleaching
Keratin Hair Treatment
Hair Styling
Hair Extensions
Trichological Assessment
Gallery
About
About Us
Careers
Blog
Contact Us
North Lakes
Caloundra
Hair Survey
Step
1
of
4
25%
What is your main hair concern?
(Required)
Select option.
Oily Scalp
Flakey Scalp
Hair Loss
Is it flakey?
Select option.
Yes
No
Is it dry or oily?
Select option.
Dry
Oily
What type of hair loss?
Select option.
Patches
All over
Front / Top
What type of flakes?
Select option.
White / grey flakes
Yellow Flakes, Red / Itchy Scalp
What type of flakes?
Select option.
Small white flakes
Large Silver flakes / skin cracks and bleeds
What type of flakes?
Select option.
White / grey flakes
Yellow Flakes, Red / Itchy Scalp
Where is the hair falling from?
Select option.
Breaking off
From the root
Hidden
Issue
Seborrhoea Oleosa
Hidden
Issue
Select option.
Dandruff
Hidden
Issue
Seborrheic Dermatitis
Hidden
Issue
Dandruff
Hidden
Issue
Seborrheic Dermatitis
Hidden
Issue
Dry Scalp
Hidden
Issue
Psoriasis
Hidden
Issue
Alopecia Areata
Hidden
Issue
Chemical Damage
Hidden
Issue
Select option.
Diffuse Hair Loss
Hidden
Issue
Genetic Thinning
Thank you for taking the time to complete this survey.
Submit your details below to get your results and information pack containing personalised solutions emailed to you.
Name
(Required)
Phone
(Required)
Email
(Required)
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