Hair Donation Requirements Checklist Form
Complete this checklist to determine if your hair meets the requirements for donation.
What is the length of your ponytail or braid (measured from elastic to tip)?
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8 inches or longer
Less than 8 inches
Is your hair free from permanent color, bleach, and highlights?
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Yes, my hair has not been permanently colored, bleached, or highlighted
No, my hair has been permanently colored, bleached, or highlighted
Is your hair clean and completely dry?
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Yes, my hair is clean and dry
No, my hair is not clean and/or not dry
Has your hair been chemically straightened or permed?
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No, my hair has not been chemically straightened or permed
Yes, my hair has been chemically straightened or permed
Is your hair free from gray hair exceeding 5% of the total length?
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Yes, less than 5% of my hair is gray
No, more than 5% of my hair is gray
Has your hair been recently cut or trimmed for donation?
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Yes, my hair was cut or trimmed for donation within the last 30 days
No, my hair was not cut or trimmed for donation recently
Is your hair completely free from mold, mildew, or odors?
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Yes, my hair is free from mold, mildew, and odors
No, my hair has mold, mildew, or odors
Is your hair tied in a ponytail or braid before cutting?
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Yes, my hair was secured in a ponytail or braid before cutting
No, my hair was not secured before cutting
What is your hair type?
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Straight
Wavy
Curly
Coily
Is your hair free from dreadlocks, extensions, or synthetic attachments?
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Yes, my hair is free from dreadlocks, extensions, and synthetic attachments
No, my hair has dreadlocks, extensions, or synthetic attachments
Submit Checklist
Should be Empty: