Stylist/Braider's Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Hair Style *

Ponytail

Twist-out

Side Swoop

Molding

Other

Styling Hair Type *

Natural

Permed

Colored

Wig - Human Hair

Wig - Synthetic

Sew-in

Braids

Other

Was this the first time styiling or was a Maintenance Touch-up? *

First Time Styling

Maintenance Touch-up

Was the Product Easy to Apply? *

Yes

No

Other

Does the Product Hold Well? *

Yes

No

Other

Do you like the fragrance? *

Yes

Neutral

No

Have you experienced any issues with this product? *

Yes

No