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Online Consultation

Welcome to Order Quality Wigs,Inc. In order for us to serve you better, we have prepared an online consultation questionnaire that you may fill out. This will help us propose the best options for you. We carry an array of hair replacement systems and hair loss products that we can offer you according to your specific needs

Contact Information
First name Address Home phone Email address How you heard about us	Last name City / Province / Postal code Cell phone Occupation Date of birth

About you and your situation
When did your hair start to thin? Approximately how many hairs do you lose daily? Do you dye your hair, if yes what products do you use? Have you ever tried treatments to regrow your hair? Is your hair loss due to any of the following? *Please describe what you are expecting from us and what you want as a new look (picture)?	Does baldness run in your family? Do you lead an active lifestyle? What shampoo and conditioner do you use? Do you have oily scalp or dry scalp? Has losing your hair affected your life? *Do you want to be able to swim, sleep and shower /bathe with your hair prosthesis?

Identifying your baldness pattern
Please view the chart attached, it is a chart with all different hair loss patterns for men and women. If you suffer from cancer, alopecia areata, alopecia totalis, alopecia universalis or from traction alopecia this section does not apply for you.

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