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Personal
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Consultant
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Source
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Support
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Walk in type
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Need
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Reason
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Need by
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Chemo start date
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Length of treatment
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Hair loss description
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BUDGET
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Insurance
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Budget
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EXPERIENCE
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Worn Wig Before
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Brand/Style/Color
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Where Purchased
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Comments
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Shopped for Wig Before
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Where
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Comments
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Expectations/Concerns
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Most important features
• • •
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LIFESTYLE
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Where wig for work
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Occupation
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Heat
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Sports/Activities/Hobbies
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CURRENT HAIR ROUTINE
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How long spent on hair daily
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Products Comfortable with
• • •
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Stylist
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Regular Services
• • •
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Avg Monthly Cost
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STYLE
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Recreate Current
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Description
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Experiment
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Description
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Part
• • •
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Bangs
• • •
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Lengths
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Bang
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Crown
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Sides
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Back
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Nape
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Wave
• • •
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Texture
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Density (Amt)
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Denier
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Color
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Match Color
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Description
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Experiment with Color
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Description
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Circumference
• • •
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Front-to-Back
• • •
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Ear-to-Ear
• • •
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Nape
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1. Style
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Color
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Notes
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2. Style
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Color
|
Notes
|
|
3. Style
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Color
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|
Notes
|
4. Style
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Color
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Notes
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Purchased
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Order
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Hold
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Other products needed
• • •
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