Hair Products

Hi, we have an upcoming research study being held in Sherman Oaks and Manhattan for Females ages 20-70 regarding hair care products. The survey is 1.5-2 hours long and would compensate you $100 for your time. If you are interested, please fill out your information below.

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* 1. What city would you want to do the study in?

Sherman Oaks, CA

Manhattan/NYC

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* 2. What is your gender

Female

Male

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* 3. Please tell me how old you are.

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* 4. How would you describe your hair cut in a few words?

Crew Cut (very short hair, up to 4cm)

Rather Short

Rather Medium length

Rather Long - Up to the shoulders

Rather Long - over the shoulders

Bare shaved, bald head, skinhead

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* 5. Which of the following beauty products do you use regularly and currently at home

Shower Gel

Shampoo

Conditioner

Care treatment for the hair

Body Lotions

Skin/Face care products

Hair styling products

Shaving products

Decorative cosmetics

Hair coloration products/hair dye

Nail Polish

Perfume

Make-up

None of these

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* 6. Have you ever colored your hair before?

No, I never colored my hair, but am open to coloring

No, I never colored my hair, and I am NOT open to coloring

Yes, I have colored my hair in the past 12 months

Yes, I have colored my hair, but it was more than 1-2 years ago

Yes, I have colored my hair, but it was more than 3-4 years ago

Yes, I have colored my hair, but it was more than 5 years ago

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* 7. Which kind of hair coloration products do you use regularly

I do not use hair coloration products

Short term coloration (level 1): washes out after about 6-8 hair washes

Semi-permanent coloration (level 2): coloration lasts at least 20+ washes

Permanent coloration (level 3): doesn't wash out but grow out

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* 8. How would you describe your employment status?

Full time

Part time - 75%

Part time - 50%

Occasional Job

Homemaker / Stay at home mom

Currently looking for a job / unemployed

Retired

Student / on education

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* 9. Please describe your ethnicity

White or Caucasian

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Another race

Mixed race (Please specify)

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* 10. Please provide your contact information.

Name *

Email Address *

Phone Number *

Alt Phone Number