Consultation Form:


Name: _________________________________

Appointment Date: _________________________________

1. What is your preference for wig style (e.g., length, texture, color, etc.)?

2. Have you measured your head circumference using our reference chart? If not, do you require further assistance?

3. Would you like to explore custom-made wig options?

4. Do you have any allergies or concerns related to the use of human hair wigs?

5. How frequently do you plan to wear your wig?

6. Have you experienced any skin irritation related to wig usage in the past?

7. Would you like to purchase specially formulated wig care products?

8. Would you like more information on our return/exchange policy?

9. Have you contacted your insurance provider regarding wig coverage?

10. What is your delivery preference and location?

11. Do you have any concerns or questions about our products or services that we can address during your consultation?

12. Would you like more information on our range of hair options and support services for medical hair loss?

Thank you for scheduling a consultation with us. Our experts look forward to assisting you in choosing the right wig for your needs.

Vic Zaman
Magic Medical