Women's Hair Recommendation Form

Your Name* This field is required.First & Last Name

First Name

Last Name

Phone Number* This field is required.Best Contact Number

Area Code

Phone Number

E-mail* This field is required.For Order Updates, Invoices, & Shipment Information

What is your ethnicity?

Caucasian

Asian

Indian

African American

Latin

Other

Which age group do you fall into?We ask this question to help us understand things that might affect your hair system. It helps us if we know things like hair density and recession.

18 or Younger

18-30

31-40

41-50

51-60

Older than 60

What best describes your situation?We ask this question to help us understand things that might affect your hair system. It helps us if we know things like hair density and recession.

I currently wear a hair system

I have worn a hair system in the past but not anymore

I have never worn a hair system

What other hair loss solutions have you tried in the past?We ask this question to help us understand things that might affect your hair system. It helps us if we know things like hair density and recession.

Propecia

Rogaine

Topical Fibers

Laser Therapy

Extensions/Weaves

Herbal Supplements

Transplant/Surgery

None

What type of hair loss do you have?Select the image that most closely represents your hair loss situation

6 (Frontal)

Do You Color Your Hair?

YESNO

How Often?

Every 2 Weeks

Every 4 Weeks

Every 3 Weeks

Five Weeks or More

What option would you prefer for your front hairline?If you have little or no front hairline we need to recreate it. If your hairline is healthy we can design a system accordingly.

I need to re-create my front hairline

My hairline is still healthy, so please design the system to be placed behind it.

I'm not sure. I need Best Hair Systems recommendations

Which front hairline do you like?Select the image that represents the desired frontal hairline

Round

Bell

M-Shaped

Rectangular

Triangular

How often do you sweat profusely?

Daily (Labor intensive work, Work outs at the gym, or have active sweat pores)

Few days per week (Hit the gym a few days out of the week)

A couple of times a month (No gym and not too active)

Never (Not active and never really breaks a sweat)

The environment that you spend the most time at is usually?

Mostly Dry

Mostly Humid

Average Conditions

How oily is your skin?

Dry

Average

Oily

How often would you like to remove/reattach your hair system?

Daily

Every few days

Weekly

Every 2 weeks

Every 3 to 4 weeks

I'm not sure

Which attachment method do you prefer?

Tape

Liquid Adhesives

Clips

Various

Not Sure

What features do you expect from a hair system?

Appearance

Appearance & Durability

Longevity & Value

Which "fitting method" is preferred?

Send us a previously worn hair system to duplicate

Send us a mold/template

Provide measurements of your hair loss area

Front to Back Lengthin inches

Side to Side Widthin inches

Select a style you would wish to achieve

Are you currently on a device that can take photos?

YESNO

Upload a photo of yourselfTry to provide photos from all angles. The more images the better.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

Upload an image of the hairstyle you would like to achieve

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

Do you have a stylist that can attach, remove, cut & blend your hair system?

Yes