CORNROWS & CO. VIRTUAL SALON brings you natural solutions for hair and scalp problems. For our many customers who cannot physically come to the salon, we have created online consultation services that will help you achieve your favorite natural style or resolve your hair and scalp care problems.

Millions of females are experiencing unusual hair thinning and abnormal hair loss. For some, baldness, thin and breaking hair is a side effect that can be triggered by external and internal conditions, such as environmental pollutants, chemical hair care, nutritional and metabolic imbalances (i.e. hormones).

Over the years of nurturing our clients damaged hair back to health, we have developed a wholistic haircare program to address hair and scalp problems. Your hair is an expression of your personal style but more important, it is an instrument by which you can measure the overall health of your body.

Our aim is good scalp care. Without a healthy scalp, it is impossible to grow healthy hair. To help you find the natural solution for your hair, we offer hair care and styling consultations, restorative home treatments, customized hair attachments, and personalized hair styles, so you can make a smooth transition from chemical hair to natural hair.

• Online Hair & Scalp Problem Consultation $95

  For more common scalp problems, such as hair breakage, dandruff, itchy scalp, psoriasis, seborrhea, scalp acne, thinning, recent hair loss. Fill out a Symptom Survey Hair Assessment questionnaire. Include hair care habits, medication, and family health history. Recommendations are provided in a written report (within 10 days) assessing the problem for home care.

• Online Hairstyle Consultation $85

  Two hairstyles are recommended for you based on your described hair condition and photo of yourself sent to us via email or postal. We will respond within 10 days with a Prescriptive Style sheet to give you step-by-step instruction how to do the style, recommended products, how to care for and maintain the style. Use the prescriptive Style sheet to do the style yourself or take to your natural hairstylist.

• Custom Hairpeace Consultation $75

  Natural-looking individualized hair replacement made to cover short and balding areas. Each Custom Hairpeace is made by hand. We use textured hair, custom color match and individualized style design. Complete the Custom Hairpeace measurement form. Select from the style library to receive a recommendation and price quote. Custom Hairpeace prices range from $225.00 - $2,000.

• Telephone Consultation ($65 per 15 min)

  Discuss your hair concerns over the phone. Done by appointment only, you may schedule a telephone consultation with our hair & scalp specialist.

IN-SALON SERVICES

• Hair and Scalp Exam & Consultation $155

  In order to recommend personalized products, food supplements and treatment for your particular scalp and hair problem, a thorough hair assessment is needed. Done in a private room with strict confidentiality, we analyze your scalp and hair. A lifestyle health assessment questionnaire is discussed including hair care habits, medication prescriptions, family health history and hairstyle recommendations. *Includes a Tissue Mineral Analysis hair clipping if needed.

• Hair (Tissue) Mineral Analysis Only $120

  An ounce of hair is cut from the crown and nape area. The hair is tested at a certified lab for mineral and metal content. Hair is a fiber protein that is made up of specific minerals and elements. It has a rest phase of up to two years so the mineral content in the body makes an impression or leaves an imprint on the hair cells to identify mineral deficiencies and excess metal toxins in the body. You will receive a written report of mineral imbalances, the symptoms they cause and recommendations for diet and nutritional supplements. Includes a follow-up telephone review and interpertation of your report. The TMA service takes less than 30 minutes, does not include style recommendation or hair loss consultation. (Hair must be clean, free of oil, and pomade. No color, perm or relaxer in the past 4 months. An inch of natural new growth hair from the scalp is needed for clipping.)

HAIR & SCALP EXAM FORM If you have logged in as a Cornrows & Co. member, this form will be filled automatically with your information. Please edit any information that is incorrect.

* First Name:
* Last Name:
* Address:
*City:
* State:	Pick a US State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist. of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
* Zipcode :
Country:	Select your country United States Afghanistan Albania Algeria Andorra Angola Anguilla Antigua Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia/Herzegovina Botswana Brazil Brit Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burma Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard/McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea (North) Korea (South) Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Martinique Mauritania Mauritius Mexico Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda San Marino Sao Tome/Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovenia Solomon Island Somalia South Africa Spain Sri Lanka St. Christopher - Nevis St. Helena St. Lucia St. Pierre/Miquelon St. Vincent/the Grenadines Sudan Surinam Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad/Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Western Sahara Western Samoa Yemen Yugoslavia Zaire Zambia Zimbabwe Other
* Home Phone Number:
Work Phone Number:
Fax Number:
* Email:
Age:
Gender:	Female: Male:
Hair condition --select one	NATURAL (no relaxer, perm, pressing or hair color in the last 18 months) PRESSED (hot comb or blow dry to straighten and style the hair) RELAXED (Chemical process to straighten the hair) CURLY PERM (Chemical process to curl the hair) COLORED (made natural hair color darker) DYED (Made natural hair color lighter)
HAIR STYLING --Select all that apply in the past 3 months	Locks Twist Braids Weave Hot curl Wet set Afro press Ctrl key for multiple sections
HAIR TEXTURE -- select one	Very thick Thick Medium thick Fine Thin
HAIR FEELS -- select all that apply	Soft Coarse Coily Brittle Cottony Wispy Oily Dry press Ctrl key for multiple sections
NATURAL HAIR COLOR	White Gray Gold/Tan Red Black Brown
HAIR PROBLEMS (Select all that apply to any region of the head- see diagram)
Frontal Region 1 Crown Region 2 Sides Region 3 Back crown region 4 Nape region 5	Breakage at ends Scalp area breakage Dry hair Tears easy when wet Mats and tangles when wet Sheds Feels limp
SCALP PROBLEMS (Select all that apply to each region of the head-see diagram)
Frontal Region 1 Crown Region 2 Sides Region 3 Back crown region 4 Nape region 5	Itching Burning Pimples Flaking Rash Discoloration Scar Tissue A. Enlarged pores filled with oil; scalp is shiny greasy; may notice oily face around nose B. Flaky dandruff; continuously loosens and falls, powdery small flakes C. Bran like scales; intense itching cause severe scratching and draw blood D. Lack of oil; crusts that are white or yellowish at center, thick hard, raised above the skin surface; scalp dry; intense itching E. As crusts are lifted, a yellowish, bloody pus flows; may lose hair in those spots F. Bald spot(s) that are smooth and the size of a coin G. Circular patches with small red inflamed pimples around the outer edge, itchy, rough and rusty looking H. Other, describe
How often do you shampoo your hair?	daily weekly bi-weekly monthly
How often do you condition your hair?	daily weekly bi-weekly monthly
Describe your hair problem?
When did you notice this hair problem?
List the hair products you used in the last 8 weeks
List any medications, birth control, and over-the counter drugs you used within the last 6 months
Are you being treated for any illness or medical condition?	yes: no:
Have you lost weight or dieted in the last 6 months?	yes: no:
Do you prefer or crave sugar and/or bread?	yes: no:
Are you pregnant or have you given birth in the past 14 months?	yes: no: