Appointment Request Form

Appointment Request

Let us know how we can help!
Full Name*

First NameLast Name
Phone*

Area CodePhone Number
E-mail*
What days work best for you?*

MondayTuesdayWednesdayThursdayFridaySaturday
What time works best for you?*

MorningAfternoonEvening
What services are you intersted in?*
I would like to be notified about promotional services. Please note that we do not rent or sell your information to any third parties!*

YesNo
IS THIS YOUR FIRST TIME GETTING MICROLINKS OR TAPE-INS?
HOW DO YOU CURRENTLY WEAR YOUR HAIR?
WHAT IS YOUR DAY TO DAY LIFESTYLE?
DO YOU TYPICALLY MAINTAIN YOUR HAIR AT HOME?
HOW OFTEN DO YOU SHAMPOO YOUR HAIR?
HOW DO YOU PROTECT YOUR HAIR WHILE YOU SLEEP?
DO YOU WORK OUT?
WHAT TYPE OF STYLES DO YOU LIKE?
DO YOU HAVE ANY SCALP ISSUES?
WHAT ARE YOUR PROBLEM AREAS?
HOW LONG HAVE YOU BEEN NATURAL?
Should be Empty: