Email Address: Phone:

Address:

City: State: Zip:

1. Have you ever been a hair model before?

Yes No

2. What is your hair length?

Short Medium/Bob Shoulder Length Long

3. What is your hair density?

Fine Medium Thick Dense

4. What is your hair texture?

Silky/Soft Coarse/Rough Wirey Multi-Textured Not Sure

5. If your hair is curly, what is your curl type?

Loose Wave Wavy Loose Curls Meduim Curls Tight Curls Very Tight Curls

6. What is your hair condition?

Healthy Dry Oily Damaged

7. Is Your Hair Chemically Treated

Yes No

If yes, check off all that apply:

Single Process Color  Highlights

Chemically Straightened Color Treated

8. Is there anything else you'd like to tell us?

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