JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Hair Care Survey
Hi,
We have upcoming focus groups in Dallas and Los Angeles for females 18-65 regarding hair products. The survey will pay $75 for 1.5-2 hours of your time.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name:
*
Your answer
Phone:
*
Your answer
Alt Phone
Your answer
What city do you want to participate in?
*
Dallas (Irving)
Los Angeles (Sherman Oaks)
Which is your age group
*
16-45
46-65
What is your exact age?
Your answer
How would you describe your haircut in a few words?
*
Very short hair, up to 4cm/ 1.5 inch
Rather short
Medium length
Rather long - up to the shoulders
Rather long - over shoulder length
Smooth shaved, bald
How would you describe your natural hair color?
*
Blonde
Dark blonde, red
Red
Light, medium brown
Dark brown
Black
What applies to your current hair color?
*
Currently colored / dyed / highlighted
Currently not colored / dyed / highlighted and I've never colored my hair
Currently not colored / dyed / highlighted and the last time was 1-12 months ago
Currently not colored / dyed / highlighted and the last time was more than 1 year ago
What kind of hair coloring products do you use?
*
I don't use hair color
Short-term coloration (level 1): Washed out after 6-8 hair washes
Semi-permanent Coloration (Level 2): Coloration lasts at least 20+ washes
Permanent Coloration (Level 3): Is not washed out, but grows out
Required
What is your ethnicity
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
