Wen Hair Products Lawsuit
Questionnaire
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In order to complete this form, you will need to first upload one (1) photo of your hair BEFORE you used WEN products, and three (3) photos of your damaged hair AFTER using WEN products. You will need to have your photos ready to upload in .jpg format. *

Please upload your 1st photo of your damaged hair.
 
Upload your 2nd photo. *

 
Upload your 3rd photo. *

 
Upload your 4th photo. *

 
The use of this questionnaire requires you to accept the terms below. *

Confidential or time-sensitive information should not be sent through this form. No attorney-client relationship is created by use of this form or this website. Neither your receipt of information from this website or form, nor your use of this website or form to contact Christiansen Davis or one of its associates creates an attorney-client relationship between you and Christiansen Davis.
     
 
What is your first name? *

 
What is your last name? *

 
What is your phone number? *

 
What is your home address? *

 
What were the approximate dates of use of the Wen product(s)? *

 
What was the method of purchase of the product(s)? *


 
If other, what was the method of purchase of the Wen product(s)? *

 
What other hair products were you using during this time period? *

 
What hair products did you use during the six months before starting to use the Wen product(s)? *

 
What hair products have you used since you stopped using the Wen product(s)? *

 
Have you had a Brazilian Blowout or any other straightening treatment during the past five years? *

     
 
Approximately how many times did you use the Wen product(s)? *

 
What are the problem(s) you attribute to the use of the Wen product(s)? *


 
What other problem(s) do you attribute to the use of the Wen product(s)? *

 
Did you experience any major life changes in the six months before your injury(ies), such as a new baby, loss of job, loss of loved one, move? *

     
 
What major life changes occurred in the six months before your injury(ies)? *

 
When did you notice the hair loss or other issues in relationship to when you began using the product? *

 
Was the progression Sudden? Gradual? *


 
Was the hair loss all over your head or in one or two specific areas? *


 
How were you styling and treating your hair during this time period?

 
Did you color, bleach, highlight or straighten your hair?

     
 
How often did you color, bleach, highlight or straighten your hair? *

 
Did you blow dry? *

     
 
How often did you blow dry? *

 
Do you use hot rollers or irons? *

     
 
How often do you use hot rollers and irons? *

 
Did you see a doctor? *

     
 
To what did the doctor attribute your hair loss? *

 
Do you have any medical conditions, serious physical injuries, illnesses, and/or medications? *

     
 
Please explain your medical conditions, serious physical injuries, illnesses, and/or medications. *

 
Has anyone in your family been diagnosed with or suffer from any type of balding or alopecia? *

     
 
Have you used any other Wen product(s) without issue? *

     
 
Did you complain to WEN? *

     
 
What did they say? *

 
Do you have an image or images demonstrating hair loss or damage from the use of Wen hair products? *

Images are not required to complete the questionnaire, but help us better understand your issue.
     
 
If you have an image demonstrating hair loss or damage from the use of Wen hair products, please upload it below.

Instructions for photos:  You must submit before and after photos to be considered for the lawsuit.  Please upload at least one photo taken within 6 months before you began using the product and at least 3 current photos of the hair from the top, back and front.

 
Do you have an additional image demonstrating hair loss or damage from the use of Wen hair products?

Images are not required to complete the questionnaire, but help us better understand your issue.
     
 
If you have an image demonstrating hair loss or damage from the use of Wen hair products, please upload it below.

Instructions for photos:  You must submit before and after photos to be considered for the lawsuit.  Please upload at least one photo taken within 6 months before you began using the product and at least 3 current photos of the hair from the top, back and front.

 
Do you have an additional image demonstrating hair loss or damage from the use of Wen hair products?

Images are not required to complete the questionnaire, but help us better understand your issue.
     
 
If you have an image demonstrating hair loss or damage from the use of Wen hair products, please upload it below.

Instructions for photos:  You must submit before and after photos to be considered for the lawsuit.  Please upload at least one photo taken within 6 months before you began using the product and at least 3 current photos of the hair from the top, back and front.

 
Do you have an additional image demonstrating hair loss or damage from the use of Wen hair products?

Images are not required to complete the questionnaire, but help us better understand your issue.
     
 
If you have an image demonstrating hair loss or damage from the use of Wen hair products, please upload it below.

Instructions for photos:  You must submit before and after photos to be considered for the lawsuit.  Please upload at least one photo taken within 6 months before you began using the product and at least 3 current photos of the hair from the top, back and front.

Thank you for submitting this online questionnaire.  We will be in contact with you in the next few days. Please be patient with us. We are working as quickly as possible to respond to all of the many men and women who have contacted us about injuries related to this product.