Microscopic Hair Analysis Questionnaire

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Microscopic Hair Analysis Questionnaire

Thanks for your purchase! This information will help us give you better, more specific feedback.

Only submit the questionnaire ONE time. If something changes and you need to make a change, email us with your name, order number and the change you would like to make and we will do our best to accommodate if the analyst has not started working on your analysis.

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* Indicates required question

Email *

Your email

Name *

Your answer

Age

Under 30

30 to 50

50 and older

Clear selection

Order Number

You can find this in your order confirmation email and in your hair collection packet.

Your answer

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