Afro Textured Hair Loss Survey

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Take our survey

1. Are you a woman or man of color who wears their hair natural, (afro kinky, curly, braided or dreadlocked) who has lost your hair due to chemotherapy or from alopecia/other reasons?

Yes, I am a woman of color who has lost my hair due to chemotherapy.
Yes, I am a man of color who has lost my hair due to chemotherapy.
Yes, I a woman of color, but I have lost my hair due to alopecia/other reasons.
Yes, I am a man of color, but I have lost my hair due to alopecia/other reasons.
I am not a man/woman of color but I have lost my hair due to chemotherapy/other reasons.

Comments

2. How do you wear your natural hair?

Loose (afro kinky or coily/curls)
Braids
Locs
Other

Comments

3. If you have lost your hair due to chemotherapy, medical or other reasons and you decided to purchase a wig, did you find it difficult to find wigs that matched your natural hair type, (specifically afro kinky or highly textured curlier textures, locs or braids) at cancer center/medical wig boutiques or beauty supply stores?

Yes, I found it difficult to find an afro textured wig style at cancer center/medical hair boutiques.
No, I did not have any difficulty finding an afro textured wig style at cancer center/medical hair boutiques.
I found an afro textured wig style at a beauty supply store.
I could not find an afro textured wig style at a beauty supply store.
I was not interested in purchasing a wig despite my hair loss.

Comments

4. For women/men suffering from chemotherapy, medical or non-medical hair loss, would you prefer to purchase a wig through one or all of the following sources?

A beauty supply store
A medical boutique (such as an existing cancer center boutique) that cater to individuals who have lost their hair for medical reasons
Online
Other (please specify)

5. Many health insurers provide money for a wig prescription, (known as cranial prosthesis). Is it important that you be able to use your health insurance to pay for your wig purchase?

Yes, using my health insurance to purchase a wig for medical reasons is important to me.
No, using my health insurance to purchase a wig for medical reasons is not important to me.
I don't know if my health insurer provides medically necessary wig prescription coverage.

7. Do you prefer synthetic or human hair wigs?

I prefer synthetic hair wigs.
I prefer human hair wigs.
I do not have a preference.

What is your gender?

Female
Male
Transgender

Phone

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