Consultation Form

Hair Extensions

Consultation Form
Client Information
Clients Name*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
Email*
How did you hear about me?*
Hair History & Current Condition
Have you worn hair extensions before? (If yes, please specify the type, when they were removed, and your experience.)*
StraightWavyCurlyCoily
FineNormalThickExtra Thick
DandruffEczemaPsoriasisExcessive DrynessOilinessAlopeciaRecent hair loss or thinninTrichotillomania (hair pulling)None of the Above
NormalDryOilyScars
YesNo
YesNo
YesNo
Has your hair been chemically treated in the last 12 months? (e.g., Color, Bleach, Perm, Relaxer, Keratin Treatment) Please provide details.*
Type of water at home? (City Water, Well Water, Other)*
Please list all hair products you currently use regularly: (e.g., Shampoo, Conditioner, Hair Mask, Treatments, Styling Products)*
Is there anything else I should be made aware of?
Desired Look & Expectations
What is your primary goal for getting hair extensions? (e.g., Length, Volume, Color, a combination)*
What is your desired hair length? (Please indicate on body and or length)*
What is your desired hair color? (Are you looking to match your current color, add highlights, or try a new shade?)*
Please describe your desired overall style: (e.g., Natural and subtle, Glamorous and dramatic, Professional and polished)*
Lifestyle & Maintenance
How often do you typically wash your hair?*
How would you describe your daily styling routine? (e.g., Air-dry, Blow-dry, Flat iron, Curling iron)*
Are you a swimmer or do you frequently engage in activities that cause excessive sweating?*
Are you committed to a regular maintenance schedule? (Appointments are typically required every 4-8 weeks, depending on the extension type.)*
Thank you for taking the time to fill out this application. Your stylist will review your application and reach out to setup a time for your in person consultation.

At your in person consultation we will go over any questions or concerns you and your stylist may have. We will go over the different methods available, the application process, go over the financial breakdown, maintenance required, recommended products to protect your investment, color match, choose desired length and much more!
Waiver & Release of Liability
I, First Name* Last Name* , I have provided accurate information regarding my hair history, allergies, and lifestyle.

- I understand that hair extensions are a cosmetic service and that individual results may vary.
- I understand the potential risks associated with hair extensions, which include but are not limited to: allergic reaction to the hair or bonding agent, scalp irritation, hair breakage or loss due to improper care or failure to attend maintenance appointments.
- I release stylist from and all liability for any damage to my hair or scalp that may result from my failure to follow the aftercare and maintenance instructions provided.
- I understand that the hair extension service is non-refundable once the application has begun. The cost of the hair extensions themselves is also non-refundable as they are ordered specifically for me.
- I consent to have photos and/or videos taken of my hair before, during, and after the service for promotional purposes. I can revoke this consent at any time in writing.

By signing below, I confirm that I have read, understand, and agree to all the terms and conditions outlined in this form.
Signature
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Hair Extensions

Client Information

Hair History & Current Condition

Desired Look & Expectations

Lifestyle & Maintenance

Waiver & Release of Liability