Adults
Name:
Age:
Gender:
Hobbies:
1. Do you like your hair?
( ) Yes ( ) No
2. What you’ll do if see a Mirror?
…………………………………………………………………………………………………………………………………………………
3. What is hairstyle?
…………………………………………………………………………………………………………………………………………………
4. Do like to color your hair?
( ) Yes ( ) No
5. What type of haircut you like?
( ) Long ( ) Medium ( ) Short
6. Do feel comfortable with your hair?
( ) Yes ( ) No
7. How many times you will wash your hair?
( ) Everyday ( ) Twice a week ( ) Once a week ( ) No
8. What product shampoo do you use?
………………………………………………………………………………………………………………………….
9. Do you have dandruff on your hair?
( ) Yes ( ) No
10. Do you have hair falling problem?
( ) Yes ( ) No
11. Do you go any hair care centre?
( ) Yes ( ) No
12. How long does your hair take to dry?
………………………………………………………………………………………………………………………….
13. If you brush your hair when it is dry, what happens?
………………………………………………………………………………………………………………………….
14. Have you gone for any hair talk programs?
( ) Yes ( ) No
15. Do you read any article or magazine about hair?
( ) Yes ( ) No
16. Your stylist knows you?
…………………………………………………………………………………………………………………………………………………………………..
17. Do you like to be
( ) Healthy ( ) Stylish
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