SCDH New Extension Client Form

Name*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
Email*
example@example.com
Have you ever had extensions before?*
Do you have a budget for your hair extensions? *
(Please note: the average initial extension investment is $1000 - $1600 for hair and installation. Please review website for more detailed pricing information.)
What type of extensions have you had? (Method, type, etc.). Put N/A if new to extensions.*
Goals for Extensions:*

LengthFullness/VolumeLength AND VolumeOther
Do you know that extensions need to be moved up every 6 - 8 weeks (depending on hair growth and client preference?)

YesNo
Do you need hair color services in addition to extensions?

YesNo
Please upload photo of CURRENT hair in natural light.*

You can upload multiple files here
Cancelof
Please upload 1-3 inspiration photos here.*

You can upload multiple files here
Cancelof
How long is your hair?

ShortMediumLong
How thick is your hair?

ThinMediumThick
How often do you shampoo your hair?

Every dayEvery other dayTwice a weekOnce a week
Describe the status of your scalp.

DryNormalOilyOther
Describe your hair by checking the options below (you can select more than one):

HealthyDamagedStraightWavy CurlyFineThickThinningOther
What are some things you LOVED about previous salon experiences?
What are some things you DISLIKED about previous salon experiences?
Do you have availability daytime Monday - Friday for appointments? (Please keep in mind that extension appointments are lengthy and range from 2 - 5 hours)*

YesNo
How did you hear about me?*

FacebookInstagramNext DoorOnline AdvertisementGoogle SearchReferred by a friend (Ask about referral program!):Friends Name
I understand that there is a 72 hour cancellation policy for extension installs, and that if I do not give 72 hour notice of a cancellation or reschedule, I will be charged a 100% cancellation fee. By signing below, I accept these terms and conditions.
Signature*

Please sign before submitting.
Date Signed*

MonthDayYear
Date
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