Name
*
First Name
Last Name
Phone Number
*
Email
*
example@example.com
Instagram
@example
Have you ever had extensions before?
*
Do you have a budget for your hair extensions?
*
What type of extensions have you had? (Method, type, etc.). Put N/A if new to extensions.
*
Goals for Extensions:
*
Length
Fullness/Volume
Length AND Volume
Other
Do you know that extensions need to be moved up every 6 - 8 weeks (depending on hair growth and client preference?)
Yes
No
Do you need hair color services in addition to extensions?
Yes
No
Upload photo of CURRENT hair in natural light.
*
Browse Files
Drag and drop files here
Choose a file
You can upload multiple files here
Cancel
of
Upload inspiration photos here.
*
Browse Files
Drag and drop files here
Choose a file
You can upload multiple files here
Cancel
of
How long is your hair?
Short
Medium
Long
How thick is your hair?
Thin
Medium
Thick
How often do you shampoo your hair?
Every day
Every other day
Twice a week
Once a week
Describe the status of your scalp.
Dry
Normal
Oily
Other
Describe your hair by checking the options below (you can select more than one):
Healthy
Damaged
Straight
Wavy Curly
Fine
Thick
Thinning
Other
What are some things you LOVED about previous salon experiences?
What are some things you DISLIKED about previous salon experiences?
What is your availability? Please keep in mind extension appointments are longer appointments (2-6 hours).
*
Day Time Mon - Fri
Saturdays
Evenings (After 5)
Other
How did you hear about me?
*
Facebook
Instagram
Next Door
Online Advertisement
Google Search
Referred by a friend (Ask about referral program!):
Friends Name
Signature
*
Please sign before submitting.
Date Signed
*
-
Month
-
Day
Year
Date
Submit
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