Extension Consultation Form

Digital Consultation Form

Welcome, I'm so excited to get started & help you achieve your dream hair! This initial consultation form gives me a quick way to analyze your current hair, hair goals and help us decide which service option is best suited for you. Extensions do require an in-person consultation prior to scheduling an application appointment. Please complete the form in full, and I'll be in touch within 24 hours during business days. If you have any questions or need support, please email me at gabrielle.marie@live.com. Let's get started...
Name*

First NameLast Name
Email*
Please note, I will be reaching out by email to confirm your appointment.
Phone Number*
Please note, I will respond by text to confirm your appointment.
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your Instagram handle?
How did you hear about me?*
Tell me more about how you found me.
If referred, what is the name of the client who referred you to my business?
Why do you want extensions?*
What do you want to achieve with extensions?*

Add lengthAdd thickness but no lengthAdd both length & thicknessOther
Do you currently have extensions in your hair?*

YesNo
Have you had extensions before?:*

YesNo
If yes, what type and what was your experience like?
Are there any additional services are you looking to book at our first appointment? Select as many as apply.

HaircutProfessional conditioning treatmentOverall hair color without gray coverageGray coverage hair colorFoils (highlights and/or lowlights)BalayageBleaching/extensive blondingVivids color (fun color all over or in select areas)Color correctionBrazilian Blowout smoothing treatment
When is the last time you had your hair cut?

Less than 4 weeks ago1-2 months ago2-4 months ago4-6 months ago6 months+
When is the last time you had your hair colored?

I've never colored my hairLess than 4 weeks ago1-2 months ago2-4 months ago4-6 months ago6 months+
What services do you generally receive currently? Select as many as apply.

HaircutsProfessional conditioning treatmentsWeekly styling servicesChemical smoothing treatmentsChemical relaxersPermsHair extensionsGray coverage hair colorOverall hair color without gray coverageHighlight/foilsBalayageBleaching/extensive blondingVivids color (fun color all over or in select areas)Clipper cuts (with scissor work)Clipper cuts (fades)
How would you describe your hair strand texture? Select as many as apply.*

FineThickCourseSmoothRoughMainly straightWavyCurlyCoily/Kinky
How would you describe your hair density?*

Very thin/actively thinningThinMedium/averageThick
Do you presently have any hair or scalp issues?*

NoScalp irritationAlopecia Areata (bald patches)Excessive hair lossBreakageOther
What do you currently love about your hair?
What do you currently dislike about your hair?
How often are you willing to come back to the salon for maintenance?*

Every 1-2 monthsEvery 3-4 monthsEvery 5-6 months
Which type of extensions are you the most interested in?*

Classic BondedLinks I-Hair or Flat Tip I-HairTape In T-Hair ProHair StripsThe VeilHand Tied
Do you have any medical conditions that may impact your hair? (this will be kept confidential)

PregnancyNursingMedications That Cause Hair LossHypo or Hyper ThyroidRecent SurgeryOther
If yes to any please give a little more information.
What days/times are you available? I will make every effort to get you in as soon as possible in line with the information you enter here. The more available you are, the faster I will be able to get you in.*

Weekdays 10am-12pmWeekdays 12pm-4pmWeeknights 4pm-8pmSaturdays 9am-4pmI will make anything work, I just need to get in ASAP
Is there anything else I should know before booking your appointment?
Please upload 2-3 photos of your hair as it looks today. I would like to see it from the back and the front, unfiltered.

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Please upload 1-3 photos of your hair goals. You can find inspiration photos through google image search, Instagram, Pinterest, or anywhere else you've seen hair you admire.

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The Details

I understand that this is a general consultation intake form designed so Gabrielle can have a better idea of what service I'm looking to achieve.

I understand that I will need an in-person consultation before securing an appointment.

I understand that submitting this form does not mean I have an appointment booked.

I understand that the average wait time to get an extensions service is about 2-4 weeks.

I understand that my first appointment's initial investment depends upon what we determine necessary to work towards my goals. Any maintenance & removal appointments may be necessary depending on current hair, goal hair, and required upkeep and are at additional cost.

Sign below and click the submit button. I look forward to hearing from you!
I understand*

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Digital Consultation Form