Salon Survey 2014

Women's Voices for the Earth is conducting a survey to learn more about what products you use in your salon, whether you are concerned about chemicals you may be exposed to in the workplace, and your interest in participating in a program that recognizes salons using safer products, good ventilation practices, and energy saving measures. The survey results will be compiled and may be shared with local and state agencies and for other public uses, but your salon's identity will be kept confidential.

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* 1. Salon Information

Name:

Salon name:

Address:

Address 2:

City/Town:

State:

ZIP:

Country:

Email Address:

Phone Number:

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* 2. Services include (check all that apply):

Nail Care

Massage

Skin Care

Hair Removal

Hair Care

Other (please specify)

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* 3. Position at salon (check one):

Owner

Employee

Booth Renter

Other (please specify)

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* 4. Your license (check one):

Manicurist

Cosmetologist

Esthetician

Barber

Electrologist

Massage Therapist

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* 5. How many workers does your salon employ/rent booths to?

1 worker

2-4 workers

5-7 workers

8-10 workers

11-12 workers

Over 12 workers

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* 6. How many stations are there in your salon?

1 station

2-3 stations

4-6 stations

7-9 stations

9-11 stations

Over 11 stations

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* 7. On average how many customers does your salon service per day?

1-5 customers

5-10 customers

10-20 customers

20-30 customers

30-40 customers

Over 40 customers