New Guest Digital Consultation Form

1

Name* This field is required.

First Name

Last Name

2

Phone Number* This field is required.

Please enter a valid phone number.

3

Email* This field is required.

example@example.com

4

Instagram Handle

6

Who were you referred by?* This field is required.

7

What are you looking to have done?* This field is required.

Colour and Extensions

Extensions Only

8

Please upload a photo of your hair from the front and back.* This field is required.

9

Are you currently wearing hair extensions?* This field is required.

YESNO

10

What type of extensions are you currently wearing?* This field is required.

11

Have you worn extensions in the past?* This field is required.

YESNO

12

What type of extensions have you worn in the past?* This field is required.

13

What is your reason for wanting extensions* This field is required.

I want longer hair

I want longer & thicker hair

I want thicker hair

I want to fill in sparse sides

I want to add colour without having to colour my natural hair.

15

What do you currently love about your hair?* This field is required.

16

What do you currently dislike about your hair?* This field is required.

17

Tia does NOT work evenings or weekends, does this work for your availability?

YESNO

18

Is there anything else you want me to know?You can also use this space to tell me a bit about yourself, aswell as what you're looking for!

19

If you have any inspiration photos, please upload them here.

20

Terms and Conditions* This field is required.