NAME:

ADDRESS:

CITY: STATE: ZIP:

PHONE:

EMAIL: 

How often do you visit salon?

What hours do you like to go to salons? what day(s)?

What type of service do receive when you go to a salon? (check all that apply)

perm cuts eyebrows arch manicure facial

other:

What type of shampoos do you like?by

What type of conditioners do you like? by

What type of perm do you/hair stylist use?by

What type of color to you use?rinse or permanent by

What type of tanning lotion to you use?by

What new items would you like to see in a salon store that others don't have? or more of a certain item?

Do you have children? yes  no

Do they go to hair salon?  no yes for what service

Would a child waiting area be convenient in a salon? yes no

How much are you willing to pay for a child waiting area? $

What is your worst problem with salons?

Do you wear wigs? yes no manufactured by

Do you use synthetic hair? yes no: manufactured by

Located:

What is the most you would like to pay for a: perm $   hair cut $

eyebrow arch $ other$

Other comments:

If the submission fails when the submit button is pressed, print survey and mail to: Brigette's Customer Survey, 105 Wilson Circle, Newnan, GA 30263. Thank you!