New Extension Client Application 2023

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.For email reminders
example@example.com
3
Phone Number* This field is required.For Text Communication
Please enter a valid phone number.
4
City, State* This field is required.
5
What's your availability normally look like?* This field is required.Please list what time ranges you're normally available each day to come into the studio for hair services. Please note not all Hair Artists are available all days.
Times (Ex: 12:00AM-12:00PM)
Thursday
Row 0, Column 0
Friday
Row 1, Column 0
Thursday
Friday
Times (Ex: 12:00AM-12:00PM)
Row 0, Column 0
Times (Ex: 12:00AM-12:00PM)
Row 1, Column 0
1 of 2
6
Which type of extensions were you looking to get?* This field is required.We offer three primary installation methods: Tape In, Invisible Bead Extensions, and Individual Keratin
Invisible Bead Extensions or IBE
Individual Keratin Extensions
Any Sew In Method
I don't know, I need help
7
What financial investment are you prepared to make?* This field is required.Extension Services with Erin on average can cost anywhere between $700 - $2500. The final price of your service will vary greatly based upon the desired result and amount of hair & rows needed.
$700 - $900
$000 - $1200
$1,200 - $1,500
$1,500 - $1,800
$1,800 - $2,500
$2,500 +
Other
8
Are you looking for color services also?* This field is required. On Your Hair
YESNO
9
What color services do you think you'll need?
Root Retouch
Gray Coverage
Highlights
All Over Darkening
Toner
Roots to Ends Color
Color Correction
Copper or Red
Other
10
What's your hair history look like?In the past 5 years
I have only gotten my hair professionally colored.
I have colored my hair myself.
I have used color from a drugstore, grocery store, etc.
I have received chemical straightening services.
I have a medical issue with my hair.
11
Please do your best to describe what color service you're looking to get.How do you want to feel about your hair?
12
Have you ever had any allergic/adverse reactions to color on your scalp or skin.
YESNO
13
Which of the following apply:* This field is required.
I wear my hair up 5 or more days a week.
I have experienced hair loss recently.
I am allergic to metals.
I am on a medication that affects my hair.
I am allergic to latex.
Other
14
Have you ever had extensions?* This field is required.
Yes
No
Yes, I have them installed right now
Other
15
If you have extensions currently installed, please describe the method, type and anything else about them to the best of your ability.
16
File Upload* This field is required.Upload up to 3 Picture of Your hair now (front, back and a side)
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
17
File Upload* This field is required.Upload up to 3 images of hair inspiration photos.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
18
Check any of the following activities you frequently engage in:* This field is required.
Water Activities
Excessive Sweating
Excessive Washing (Daily)
Tanning Beds
Saunas/Steaming
Wearing Helmets
None
19
Which type of consultation would you prefer?* This field is required.
In Person
Video
20
Is there anything else you think we should know?* This field is required.Include what type of extensions you're interested in or any questions you may have.
Should be Empty: