Scalp Consultation - The Formulated Glow

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Scalp Consultation
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Home
About Us
Shop
Scalp Consultation
Contact

Our Free Scalp Consultation

How It works?

Initial Consultation

Complete our intake form and upload at least three high-resolution photos of your scalp for a comprehensive professional review.

Expert Evaluation

Our specialists will carefully analyze your scalp health to identify the underlying causes of your specific concerns.

Targeted Recommendations

Receive a customized product regimen designed to deliver the transformative results you’ve been looking for.

Fill Out The Form Below

Scalp Consultation Form

Full Name

Email Address

Phone Number

1. What is your main hair concern? (select all that apply)

Hair Loss Receding Hair Line Hair Thinning Flaky/Dry Scalp Dry, Dull & Frizzy Hair Damaged Hair due to Heat/Colour Hair Loss due to Stress and in Increase in Greying

2. Describe Your Current Hair Care Routine

3. List The Current Products You Use in Your Hair Care Routine

4. How Many Days After Washing Does Your Scalp Become Greasy?

Within One Day 1-2 Days 3 Days After Not Greasy At All

5. Are You On Any Chronic Medication?

Yes No

6. Do You Take Any Vitamins or Supplements?

Yes No

7. Do You Use Excessive Heat on your Hair or Style/Gel Your Hair Frequently??

8. Where Are You Experiencing Hair Concerns The Most?

Hairline/Edges Crown Entire Scalp Specific Patches

9. Have You Been Diagnosed With Any Hormonal Condition/Imbalance?

Yes Now

10. Please Upload 3 to 5 Images of Your Scalp Condition For Us To Assess

Please Use The Box Below To Submit Any Further Information

info@theformulatedglow.co.za

+27 76 904 7341

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Cape Town, South Africa

Products

AlphaLogic Digital Solutions

Get In Touch

Contact Us

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Phone

Message

info@theformulatedglow.co.za | +27 76 904 7341

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