Hair Extension Application
Thank you for your interest in working with us for your hair extension needs. In order to determine your next step for a professional hair extension solution, please complete this form. Thank you!
Name:
*
First Name
Last Name
Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address:
*
example@example.com
Best Way to Contact You:.
*
Email
Phone Call
Text
How would you describe your natural hair texture?
*
Fine
Medium
Course
How would you describe your natural hair type?
*
Straight
Wavy
Curly
Please list all of your current haircare products, including shampoo, conditioner & styling products:
*
How would you describe the current length of your hair?
*
Pixie
Short
Medium
Long
Upload a current photo of your natural hair.
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How would you describe your overall hair quality? Check all that apply. *
*
Thinning
Lacks Volume
Dry
Frizzy
Damaged
Colored or highlighted
Bleach processed
Mostly Healthy
How would you describe your scalp?
*
Normal
Dry
Oily
Other
How often do you wash your hair?
*
Daily
Every other day
Twice a week
Once a week
How do you most often style your hair? (check all that apply)
*
Air Dry
Blow Dry/Diffuse
Heat Styling (Straightener/Curling Iron)
How often do you wear hair in a pony tail or messy bun?
*
Daily
A few days a week
Only if needed
When I work out
What is your main hair concern right now or desired goal? Please feel free to share anything else you'd like me to know about your hair!
*
If available, upload inspirational photos of your desired look.
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Submit
Should be Empty: