Please fill out the following survey from ReGenesis to be entered to win a Detox Hair & Scalp Masque in 2.5oz (quantities are limited, while supplies last) Question Title 1. Please provide the following: First Name * Last Name * Salon Name * Address * City * State * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP * Country * Email Address * Mobile Phone Question Title 2. Is this your home or salon address? Home Salon Question Title 3. Salon Pro Type (choose all that apply): Licensed Cosmetologist Independent Salon Owner Booth Renter (Suite/Studio Owner) Barber Salon Manager Hairdresser Colorist Salon Assistant Front Desk/Retail Student School Instructor Nail Technician Esthetician Makeup Artist Massage Therapist Manufacturer Certified Educator Distributor/Salon Consultant Question Title 4. How many chairs are in your salon/spa? 1 to 2 3 to 6 7 to 10 11 or more Question Title 5. Age Group 18-25 26-35 36-45 46-55 56-65 66+ Question Title 6. What services does your salon/spa offer? Hair Cutting & Styling Hair Coloring Balayage Vibrant and Pastel Coloring Barbering Chemical Smoothing Perms & Relaxers Hair Extensions Braiding Eye Lash Extensions Nail Services Skin/Spa Services Pressing/Press 'N Curl Weaving Natural Haircare/Multicultural Question Title 7. Which RETAIL brands do you carry? 12 Benefits Abba AG Hair Aloxxi Alterna American Crew amika Aquage Aveda Beth Minardi Signature Bosley Brazilian Blowout Bumble and bumble Clairol CND Color WOW ColorProof Davines Denman Deva Curl enjoy ESSIE Eufora Farouk Systems/CHI FHI Heat Fuel ghd Goldwell HOT Tools invisibobble Joico Kadus Kenra Professional Kent Kerastase Keratin Complex Keune KEVIN.MURPHY KMS California L'ANZA L'Oreal Professionel label.m Living proof. Macadamia Professional Malibu C Marrakesh Matrix Mizani Moroccanoil Nioxin O&M Olivia Garden OPI Oribe Ouidad Pai-Shau Paul Mitchell Phyto Power Styler Pravana ProRituals Pureology R+Co Redken ReGenesis Renee Furterer RevitaLash Cosmetics Robanda Sam Villa Schwarzkopf Professional Scruples Sebastian Sexy Hair Shu Eumura Tangle Teezer TIGI Tressa Tweezerman Unite Unwash Verb Wella Professionals Women's Rogaine Z.One Concepts Zotos Other (please specify) Question Title 8. Would you like to be entered to win a Detox Hair & Scalp Masque and be contacted by ReGenesis? Yes, please. No, thank you. Question Title 9. What percentage of your clients would you say have fine and thinning hair? 0% - 25% 26% - 50% 51% - 75% 75% + Question Title 10. Rate how comfortable you are addressing fine and thinning hair concerns with your clients Not comfortable and would only address if asked by client Somewhat comfortable Comfortable Very comfortable and feel like a fine and thinning hair expert Thank you for completing the survey! ReGenesis and its agents may contact entrants by telephone, electronic mail and other means for marketing purposes. Done >>
