Hair & Scalp Health Assessment

1. What is your age group?

Under 18 18 - 25 (Gen-Z) 26 - 35 (Millennial) 36 - 45 46+

2. Which living environment do you spend most of your time in? Water hardness and pollution directly impact scalp health.

Metro City (Borewell hard water connection) Humid Coastal region (Vizag, Chennai - Sweat & humidity) Dry / Arid climate region Suburban / Clean climate

3. What is your primary hair or scalp concern? Select all that apply.

Excessive Hair Fall & Thinning Roots Persistent Flaky Dandruff & Scalp Itchiness Dry, Brittle & Damaged Hair Strands Slow Hair Growth & Lack of Volume Oily Roots & Flat Hair

4. How does your scalp feel 24 hours after washing?

Greasy or Flat (Roots look oily and weighed down) Dry, Tight, or Slightly Itchy Red, Irritated, or Sensitive Comfortable and normal

5. How do you currently treat hair fall or scalp issues? Select all that apply.

Applying traditional hair oils (coconut, onion, amla oil) Using anti-dandruff or hair fall control shampoos Taking hair vitamins/biotin supplements Using active hair growth serums (Minoxidil, Peptides) I don't do anything specific

6. Do you prefer heavy hair oils, or a 100% water-light peptide serum?

I prefer a water-light, non-greasy leave-in serum (absorbs in 5 seconds) I prefer traditional hair oils (even if they feel greasy) I am willing to try both

7. Do you have known scalp sensitivities, ingredient allergies, or past bad reactions? Select all that apply.

Yes, I have KNOWN reactions (e.g. Minoxidil itching, Onion Oil dandruff, Fragrances) I don't know the chemical name, BUT my scalp gets severe itching/dandruff with new products No known allergies (My scalp rarely reacts badly)

8. What is your #1 hair goal for the next 30 days?

Reduce hair fall and stimulate fresh root growth Clear stubborn dandruff flakes & stop scalp itching Get non-greasy, voluminous & soft hair

9. For a Copper Peptide serum that stops hair fall, what monthly budget range feels reasonable?

Under ₹499 ₹500 – ₹899 ₹900 – ₹1,499 ₹1,500+

10. Where should we send your 15% VIP Discount Code once launched?

💡 Privacy Note: Phone Number & Email are optional. They are used solely to share your 20% discount coupon & custom routine guide once products are officially launched.

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