New Client Application

What is your name?*

First NameLast Name
What is your birthdate?*

YearMonthDay
Date
Phone Number*
Email*
example@example.com
What is your Instagram handle?
Have you ever worn hair extensions before?*

YesNo
If you selected Yes, which type/method did you have?
Great! Now, What is your hair type?*

StraightWavyCurlyCoiled
What is your hair texture?*

Thin/FineMediumThickCoarse
What is your hair density?*

Very ThinSomewhat ThinNeither Thin nor ThickSomewhat ThickVery Thick
Is your hair color treated?*

YesNo
Is your scalp:*

OilyDryNormal
How oily does your scalp get within two days of washing?*

Not OilySomewhat OilyVery Oily
How often do you wash?

Every dayEvery other dayEvery 3-4 daysOnce a week
Is dandruff or flakiness an issue?*

YesNoSomewhat
“My hair is...”*

DryLimpFrizzyBrittle (breaks easy)Damaged from heatThinningReceding (receding hairline)Damaged at the ends (split ends)Chemically over-processedNone of the aboveOther
How often do you apply heat?*

NeverOnce in a while2-3 times a weekDaily
How do you prefer to style your hair?*

Air-dried and styledBlow-dried and styledOnly air-driedOnly blow-driedOther
What products do you use to style your hair?*
What is your biggest concern?*
What are your ultimate hair goals?*
I have read and understand the pricing guide for my color appointment or my initial install and move-up commitments.*

Yes, I have read and fully understand that I am making an investment into myself.Other
I have read and understand the No-Show and Cancelation Agreement and agree to all terms specified on the website.

Yes, I have read the Cancelation And No-Show Policy and I fully agree to the terms.
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