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    First Name
    Last Name
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    State of Residence
    Gender
    MALEFEMALE
    Describe your hair length.
    0 TO 1 INCHES1 TO 2 INCHES
    2 TO 4 INCHES4 OR MORE INCHES
    Describe your hair density.
    SPARSESPARSE IN SOME AREAS
    FINEMEDIUMTHICK
    DENSE
    Describe your hair texture.
    SILKY/SOFTCOURSE/ROUGH
    WIREYMULTI-TEXTURED
    NOT SURE
    Is your hair chemically treated?
    YESNO
    Describe treatment.
    SINGLE PROCESS COLOR
    HIGHLIGHTS
    CHEMICALLY STRAIGHTENED
    COLOR TREATED & CHEMICALLY STRAIGHTENED
    NOT APPLICABLE
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