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My Progress & Check- in

My Progress & Check - In

Routine Adherence

Did you follow your assigned hair care routine this week?
Yes, fully
Mostly
Not at all
If “mostly” or “not at all,” what prevented you from following your routine?
Laziness
Lack of time
Forgot
Products unavailable
Hair reactions (itchiness, dryness, etc.)
Other: ______________

Section 2 :Hair Health & Scalp Condition

Did you notice any breakage, shedding, or hair loss?
None
Mild
Moderate
Severe
Any scalp irritation, flaking, or itching this week?
No
Yes – please explain: ______________

Section 3:Routine Components

How often did you do the following this week?

Wash / cleanse scalp
0
1
2
3+
Condition / deep condition:
0
1
2
3+
Moisturize / seal:
0
1
2
3+
Protective styling / low manipulation:
0
1
2
3+
Heat styling:
0
1
2
3+
Did you take any supplements or teas recommended for hair growth this week?
Yes
No

Section 4: Lifestyle Factors

How many hours of sleep did you average per night this week?
How would you rate your stress level this week? (1 = very low, 5 = very high)
Did your diet and water intake support hair growth this week?
Yes
Partially

Section 5: Self-Assessment & Feedback

How satisfied are you with your hair progress this week? (1 = very dissatisfied, 5 = very satisfied)
1
2
3
4
5
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