Luxury Extension Consultation Form

Luxury Extension Consultation Form
Thank you so much for your interest in extensions. I am certified in Great Lengths Keratin Bond Extensions as well as Hand Tied Weft Extensions. If you haven't already, please go back to the extension information page on the website to familiarize yourself a little bit with these two methods.

Please complete the form below to be approved for an in-person consultation appointment. This form provides information that helps me provide the best customized estimate and experience for you based on your current hair situation as well as your hair goals. We can discuss additional questions you have at your in-person consultation appointment. Please fill out this form as accurately as possible.

After submitting this form, you wil be notified via email if you're accepted as a candidate for extensions within 72 hours. Please check your junk email as replies often get sent there.

After acceptance, you may book the in-person consultation through Vagaro. Once application method, colors, length are decided and the deposit has been paid, we will set the date for install. This can be as quick as a few days if my schedule permits.

I can't wait to meet you!
~Melissa
1. Contact Information *

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
What is your social media handle?
Birthday

MonthDayYear
Date
How did you hear about me?*
Tell me about your hair
Have you ever worn hair extensions?*

YesNo
If YES, what methods of extensions have you had?
Are you currently wearing extensions?

YesNo
If YES, what method?
What is the current length of your natural hair? (Not extension length)*

Pixie cut/super shortAbove my shoulders, but no layersAbove my shoulders, with layersAt shoulders, or up to 2” past, no layersAt shoulders,or up to 2” past, with layersWell past shoulders
What is the density, or thickness of your hair?*

Very fineAverageOn the thicker sideVery thick
What is the texture of your hair*

Very straightMostly straightSlightly wavyVery wavyFull of curlsVery tight curls
Describe your hair care/styling routine on an average daily basis.*
Example: I wash my hair every day and let it air dry. Or: I wash my hair every other day, and when I do, I add mousse, blow dry, then curl with an iron.
Describe your hair care/styling routine when there’s a special event. *
Example: the same as my daily routine but more products. Or I go to the salon to have it done.
When you sleep you:(Check all that apply, even if it’s not daily)*

Go to bed with it wetPut it in a braidHave it in a messy bunSleep with moisturizing treatments inLeave it down and dryHave a satin or silk pillowcase
If you receive chemical services, what does your hair have currently?(Check all that apply)*

Professional salon colorAt home hair colorRoot color to cover greyRoot color to darken my naturalRoot color to lighten my naturalGloss/color through the endsSome highlights on top and around faceHighlights everywhereBalayage on my endsRelaxerSmoothing treatment(ex. Keratin, Brazilian Blowout)PermanentFashion color(some color of the rainbow)My hair is not colored
Are you wanting to change your color?*

I want a total transformationI am happy with my color and would like to maintainI am open to suggestions
What is your desired results with an extension installation?*

I want to add length and volumeI would like more volumeI have breakage and I’m looking to camouflage thatThe more hair the better
What days are your ideal appointment days? *
What time of day is your ideal appointment? *
To book a 30 minute in person consultation: this form needs to be filled out. Upon completion, an invoice of $50 will be sent for the consult booking fee and a date and time will be set via email. Once paid, the appointment will be set in the schedule.

To book an install appointment: there is a non-refundable retainer of $300 that will be credited to your total pricing.
I understand and agree to the terms/policy of the consultation booking fee and the non-refundable retainer fee. *

Clear
Cancellation Policy

There is a 48 hour cancellation policy. If 48 hours notice is not given, the retainer fee will be void and a new retainer fee will be required to rebook.

If cancellation occurs with 24 hours or less notice, 75% of the booked services pricing will need to be paid in order to book again. New retainer fee will be required to rebook.

No call/no show

Retainer fee will be void and the individual will not be able to book future appointments.
I understand and agree to the terms/policy of the cancellation policy and no call/no show as listed above. *

Clear
I would like to be contacted via email to move forward with setting up an in person consultation

Yes, I want to get started right awayNo, I’m not ready at this time, but will reach out when I amI'm not ready at this time, but I would like a follow up from you in a couple months
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Luxury Extension Consultation Form

Tell me about your hair