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United Capping Questionnaire
We'd love to get some feedback to improve upon our services for the future as well as get an overall feeling for how your journey was with cold capping. We may use some of your answers as quotes on social media and on www.unitedcapping.com.  You can opt out of this below. 
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Name *
Do you give consent to United Capping to post any responses from this questionnaire to social media using your first name only? *
Do you give consent to United Capping to use pictures or quotes from this questionnaire on the unitedcapping.com website? *
How did you hear about United Capping?
What services did United Capping Provide for you?
How many chemotherapy treatments did you have or plan to have?
What was your chemotherapy regimen? 
Describe your reasons for choosing to cold cap.
Describe your experience with cold capping. 
Explain your results with cold capping.
What percentage of hair have you retained?
Describe how keeping your hair made you feel during treatment. 
Describe how your Capping Specialist made your cold capping experience. We want the good, bad, and ugly...
Describe your first treatment including the services that United Capping provided. 
Describe how your Capping Specialist may have helped your experience while undergoing chemotherapy.
Were there any other services United Capping helped you with beyond cold capping?
Talk about the experience of wearing a cold cap. Did your Capping Specialist help with any discomfort?
Do you feel like you were supported by your doctors and nurses during cold capping?
Did you have more than one Capping Specialist assist you during your treatment?
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If you had multiple Capping Specialist, how was your experience? Would you have preferred to have a single specialist instead?
How can United Capping improve on services in the future?
We realize that saving your hair is an investment. Do you feel like it was worth the time and money? Please describe your thoughts on this. 
How likely are you to recommend United Capping to another patient?
Please provide any other comments or suggestions you have based on your experience with the ladies at United Capping.
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