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Online Hair Consultation

If you would like a custom product recommendation by George Michael Lowhigh Please fill out the following questionnaire and George will set up a hair care regimen customized just for you and your individual needs.

  Date of birth (mm/dd/yy)*
  First Name*
  Last Name*
  Email*


1. What is the biggest problem you have styling your hair?


2. What best describes your hair texture? Check all that apply.
Fine Normal Coarse Oily Dry
Frizzy Damaged Wavy Over Curly Curly
Straight Stiff Very Soft Very Thin Thin
Thick Overly Thick      

3. Check all that apply. Do you:
Color Perm Chemically straighten hair
Swim more then once a week Get in a Hot Tub more than once a week Have well water
Relax hair Blow dry hair straight Use Hot Rollers
Use Velcro Rollers Curl hair with a curling Iron or Brush Flat Iron the hair
Spend significant time in the tanning bed or out in the sun Have dry scalp, dandruff or flakey scalp Have oily scalp
Highlight or Bleach hair    

4. How long is your hair?
1/4 inch to 4 inches
4 inches to chin length
Chin length to shoulders
Shoulders to mid back
Longer than mid back


5. Does you hair have breakage or new growth? (i.e. Shorter hairs around the hairline)
Yes
No

6. Please number the top three things you wish for with your hair. (1 being the most important)
I want Body in my fine hair!
I want my hair to hold its style!
I wish I could slow down how fast my hair color fades!
I want to fix the damage done to my hair!
I love my natural curl but wish I could control it more!
Get rid of the dryness!
Get rid of the frizz!
Remove Chlorine build-up!
I want smooth silky straight hair but my hair is curly!
I want rid of Flakiness from my scalp!
Make my perm last longer!
Want my short hair sassy and/or spiked without stiffness!
I need more shine to my hair!
Stop the slit ends and/or breakage!


7. Do you live in the Minneapolis/ St Paul area?
Yes
No

8. How did you hear about our website?
Mail Flyer
Publication (Please Specify)
Search Engine (Please Specify)
Word of Mouth
Email
Other (Please Specify)

9. Have you ever used System Elite Products before?
Yes
No

10. Would you be interested in notification of internet specials and sales from System Elite?
Yes
No





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