Hair Questionnaire - Fernanda Niemes

Hello Gorgeous

Let's create your personalized hair routine

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

First Name

Last Name

Phone number (please make sure this is correct, otherwise I won't be able to contact you. TEXT ONLY-- I will NOT call) This is now used to verify you are located in the country you select below **I'll most likely send you a text, please keep an eye out and DO NOT mark as spam**

Instagram @

Tik Tok username @

What is your preferred method of contact? (If you are not in the US or Canada you must have an iphone for text, otherwise it needs to be instagram)

WhatsApp Instagram

Are you 18+? (Must be 18+ and older)

Yes No

What is your age?

Where are you from? (If country isn't listed we are not in your country just yet unfortunately! But please let me know where are you from in the option Other and answer the next question so I can notify you as soon as we open that market.

What country are you from? -if not listed in the previous question

Hair density

Thin Medium Thick

Is your hair NATURALLY...

Straight Wavy Curly

Is your hair Oily, as in you have to wash your hair within 1 or 2 days?

Yes No

Is your hair dry?

Yes - all over Yes- but only at the ends No

How fast does your hair typically dry after is wet?

Fast in 1-2 hours Slow 2+ hours In the scalp slow, on ends fast

Is your hair color treated?

Yes No

What shampoo are you using right now?

Tell me a little bit about your routine

Is thinning/balding a concern? If so, please describe if there is thinning throughout your hair, bald spots, receding hairline, etc.? (Please put N/A if not applicable)

What do you use to style your hair?

Blow Dry or Diffuse Blow Dry & Flat iron, Curling Iron, Hot Rollers Air dry (Wash and Go)

How often do you apply heat tools per week?

What is your main hair goal? Describe what you want your hair to look like! (E.g. thicker, more volume, less dry, and/or frizzy, etc.)

Do You Have a Shower Head Filter or Water Softener?

Yes No

What is your budget USD? (Products can last 3+ months)

$140 USD (this is the minimum and for PRODUCTS ONLY) Please note the products last 3+ months. $190 $210+

Anything else you'd like me to know in order to better assist you?

How did you find me?

Tik tok Instagram Facebook Referral

Are you also interested in?

That’s it! After you hit the submit button, I'll take a look at your answers and send you specific product recommendations that will work best for you and your hair needs. In the meantime, if you have any questions, you can email me at fernanda@fernandaniemes.com and we'll be in touch. Talk to you soon. XO

Embark on a journey to transform not just your hair, but your life. Whether you’re looking to start your entrepreneurial journey with digital marketing or transform your hair with expert care solutions, I’m here to guide you every step of the way.

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Thank You!!

Thank you for filling out my hair questionnaire! I’m super excited to help you achieve the hair of your dreams. Based on your answers, I’ll create a personalized routine just for you. I’ll be reaching out to you soon to review your hair care routine and answer any questions you may have.

I can’t wait to get started on this journey together!

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