How often do you experience an itchy or flaky scalp?

How oily does your scalp feel by the end of the day?

Do you notice any redness or irritation on your scalp?

How often do you shed hair when brushing or washing?

Do you use scalp treatments or medicated shampoos?

Do you experience pain or sensitivity when touching your scalp?

How often do you see flakes or buildup in your hair/scalp?

How often do you use styling products (hair spray, mousse, gel)?

Do you have any of the following scalp conditions (Select all that apply)

How would you describe your skin on your face?

How would you describe your diet?