Please complete the following survey to receive a FREE Bosley Professional Strength Hair Thickening Fibers.(While Supplies Last.) By completing this survey you acknowledge that the information you provide in this survey may be used by Bosley. By completing this survey you consent that Bosley may contact you to provide you information about its products or other promotions.

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1. Email Address:

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2. Please provide the following:

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3. Is this your home or salon address?

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4. Age Group

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5. Salon Pro Type:

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6. How many chairs are in your salon?

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7. What services does your salon/spa offer?

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8. What retail lines does your salon carry?

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9. What percentage of clients voice concerns over fine and/or thinning hair?

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10. What percentage of clients who voice concern over fine and/or thinning hair also ask about styling products?

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11. Would you like to receive a FREE Hair Thickening Fiber and possibly be contacted by a Bosley Representative?

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