Extension Request Form:
Street Address Line 2
What day/time works best for your appointments? (select ALL that apply)
Length of your natural hair
Shorter than jawline
Top of shoulders
Bra strap length
Select Your Hair Density:
What is your natural hair texture?
Do you have any current damage?
Heat styling damage
Heat & chemical damage
Current hair color services you receive
Ex: Root retouch, hilights, lowlights, all natural
Are you wanting to keep or change up your hair color?
Keep the same color
Change my hair color
Take a photo of the front of your hair- smile pretty :)
Side of your hair
Back of your hair
Have you ever worn extensions before?
If yes, which method have you worn & what did you like/not like about it?
You are wanting extension hair to add:
Length & Thickness
Describe your desired result after your extensions are installed (length, color, etc):
List products that you currently use on your hair:
Ex: shampoo, conditioner, styling products
How often do you shampoo?
Every other day
Three times a week
Twice a week
Once a week
Do you have any medical history that has directly affected your hair or scalp?
Ex: Thyroid, cancer, eczema, etc
How did you hear about me?
Ex: referral, social media
I will be in contact with you soon to meet your hair needs!
Check your inbox for RSbyJamie@gmail.com
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