Your Customized Hair Consult

Hair Consultation. Let's find your customized system & get your scalp reset!

Hi friend! My name is Nikki! I am here to find a solution to your hair/scalp problems.

I have been studying scalp health, hair loss and growth since 2018, have put in thousands of hours' worth of research and have had an amazing personal transformation.

The products are all naturally-based, vegan, cruelty-free, and clinically backed by the University of Miami Miller School of Medicine. The best part is they are specifically tailored to your hair and scalp needs and your own personal hair goals! Please answer these questions as thoroughly as possible so I can find the perfect system for your hair needs!

When you become my client you will receive direct access to my personal cell, my client-only resources where I share tips, sales, free shipping, free products, monthly giveaways and more.

Interested in getting the best hair AND making $$$ while doing it? Fill out this form instead: Opportunity Application

PLEASE leave a correct contact IG name, email and/or phone number so I can send you your custom consult!

**PLEASE NOTE** you can expect a response within at least 3-7 days— if you want a faster response message me on IG @nikkiryanpeters

XO, Nikki

First Name *

Last Name *

Date of birth (All my customers get a Birthday gift) *

What is your Instagram handle? (Ex: @nikkiryanpeters

Tik Tok Username (if you found me on TikTok if not put n/a):

Phone ***IF OUT OF USA PLEASE LEAVE WHATSAPP NUMBER** *

Email *

State *

Are you 18+ (Must be 18+ and older): *

YES

NO

Is your hair ... *

Thick

Thin

Somewhere in between

Is your hair… *

Straight

Wavy

Curly

Kinky

Is your scalp (what is your main concern) *

Thinning

Oily

Dry

Balanced

If you selected "Thinning" as a main concern, or are dealing with hair loss, what do you think is the reason behind it? Think of any changes that have happened to you in the last 1-3 months (check all that might be applicable) *

Stress or Anxiety (changes in the home, new job, sick family member)

Genetics (inherited diseases or genetic alopecia)

Medical (surgery, medications, anemia, auto-immune, diabetes, etc)

Nutrition (rapid weight Loss, vegetarian, etc)

Hormonal (pregnancy, birth control, menopause, etc)

Personal Style (tight hairstyles, braids, etc)

Environmental (exposure to chemicals, radiation, chemo, etc)

Scalp Disorder (psoriasis, seborrhea dermatitis, eczema, dandruff,etc)

Hair loss is not a concern for me

Do you use a heat protectant? *

Yes

No

Check off all of the hair concerns you would like to address *

Fine/Flat hair/Needs Volume

Thinning

Damage/Frizzy Ends

Extend the time Between Washes

Scalp needs rebalanced (itchy, dry, overly oily, etc)

Curly Girl (need help with my natural curls)

I just want a healthier + cleaner option

Anything else I should know about your hair or scalp?

What products do you use to style your hair? Specify if you use a heat protectant please. *

What Shampoo/Conditioner brand do you currently use? *

Do you love your current shampoo? What are your thoughts on why you do or do not love it? *

If you answered "Yes, that you love your current brand" Can you tell me why you are interested in trying out Monat? *

How comfortable are you with changing your current hair care routine? *

What is your budget today? *

$120-$150 (min order)

$150-$200

No budget! I’ll get whatever I need

I don't think I can afford the min budget. Add me to your sale list please!

Please upload your hair selfie here (this is so I can give you the best customized recommendation) If you are unable to upload it with this consult form, please text it to me instead. I am unable to do a consult without it. Thanks

Are you a current customer of mine? *

Yes

No

Messaging opt-in *

By checking this box you agree to receive SMS and Email messages. You can unsubscribe anytime by replying STOP.

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