TESTIMONIAL FORM (Write your testimonial after filling out below)

Age: _____ year old male     _____ year old female

Hair type (circle one):  COARSE AND DRY                FINE AND OILY           FINE AND SOME OILINESS         FINE AND DRY

Circle products used:     Wild Growth®  Hair Oil            Wild Growth®  Light Oil Moisturizer     

Chemicals and maintenance methods used on hair BEFORE using Wild Growth®  product(s).

Lye products: _________________   How long?  __________

Dyes __________________ How long? __________

Shampoos______________________________________

Conditioners______________________________________

Other products used after shampooing and conditioning________________________________________________________________________________________________________________________________________________________________________________________________________

Other styling methods:

Heat usage (blow dry, drier, pressing)_______________________________________

Other methods___________________________________________________________

Braids?   What kind______________ How long? ____________

Weaves?  What kind _______________ How long? ____________

Chemicals and maintenance methods used on hair SINCE using Wild Growth Hair Oil®:

Lye products: _________________   How long?  __________

Dyes __________________ How long? __________

Shampoos______________________________________

Conditioners______________________________________

Other products used after shampooing and conditioning________________________________________________________________________________________________________________________________________________________________________________________________________

Other styling methods:

Heat usage (blow dry, drier, pressing)_______________________________________

Other methods____________________________________________________________

Braids?   What kind______________ How long? ____________

Weaves?  What kind _______________ How long? ____________

Length of time since using Wild Growth®  Hair Oil and/or Wild Growth®  Light Oil Moisturizer

 before seeing improvement in:

Length of hair (inches)_______________  How long did it take?     ______ DAYS,    _____ WEEKS,    or   _____ MONTHS)

Thickness of hair (Yes or No)_______________        How long did it take?   _____ DAYS,    _____ WEEKS,   or  _____ MONTHS

Thinning or Bald spot (Yes or No)_______________     How long did it take?   _____ DAYS,   _____ WEEKS,  or _____ MONTHS

Hair Breakage (Yes or No)_______________      How long did it take?     _____ DAYS,   _____ WEEKS,  or ____ MONTHS

Texture of hair (Yes or No)_______________    How long did it take?   _____ DAYS,  _____ WEEKS,   or _____ MONTHS

Your Testimonial:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________(continue on back of page). You can also send before and after photos. Mail Testimonial form and before and after photos( if any) to:  Wild Growth Co., P.O. Box 2940, Saint Johns AZ 85936