Please complete the following survey to receive a free full size sample of d:fi d:struct.(Limited Quantities. While Supplies Last) Question Title 1. Please provide the following: First Name * Last 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. Age Group 18-25 26-35 36-45 46-55 56-65 66+ Question Title 4. Salon Pro Type (choose all that apply): Licensed Cosmetologist Salon Owner (multiple salons) Salon Owner (single location) Commissioned Hairdresser Salaried Hairdresser Colorist Salon Manager Salon Assistant Student Booth Renter or Suite/Studio Renter School Instructor Nail Technician Esthetician Makeup Artist Massage Therapist Manufacturer/Distributor Educator Question Title 5. How many chairs are in your salon/spa? 1 to 2 3 to 6 7 to 10 11 or more Question Title 6. Which RETAIL brands do you carry? Abba AG Hair Aloxxi Alterna American Crew Aquage Aveda Beth Minardi Luxury Color Bumble & bumble Clairol ColorProof Davines Deva Curl Farouk Systems/CHI Goldwell Joico Kenra Kerastase Keratin Complex KMS California L'Oreal Professionel Macadamia Oil Matrix Mizani Moroccanoil Nioxin Oribe Paul Mitchell Pravana PureOlogy Redken Schwarzkopf Professional Scruples Sebastian Sexy Hair Shu Eumura TIGI Wella Z.One Concepts Zotos Other (please specify) Question Title 7. Which HAIRCOLOR brands do you use? AlfaParf Aloxxi Artease Aveda Beth MInardi Signature Color Clairol Davines Farouk Systems/CHI Framesi Goldwell Joico Kemon Kenra Keune Keratin Complex L'Oreal Professionel Matrix O&M Organic Salon Systems Paul Mitchell Pravana ProRituals PureOlogy Redken Schwarzkopf Professional Scruples TIGI Wella Zotos Other (please specify) Question Title 8. Who makes the product purchasing decisions in your salon? (select all that apply) Your Salon Owner or Manager Other Stylists or Colorists in your salon Yourself Other (please explain below) Other (please specify) Question Title 9. What is your average haircut price? Under $18 $19 - $29 $30 - $49 $50 - Up Question Title 10. How important is it for a professional line to include educational support? Very Important Somewhat important Important Not important Question Title 11. What do you feel is the most important attribute for a professional hair product line? Performance Scent Price Other – (open field to fill in answer) Question Title 12. Would you like to receive a full size jar of d:fi d:struct (limited quantity available while supplies last) and possibly be contacted by a d:fi representative? Yes No Thank you for completing the survey! You have now been entered to win and will be taken to learn more about d:fi and watch a video! Done >>