Form
Name
First Name
Last Name
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Email
example@example.com
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Phone Number
Please enter a valid phone number.
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Color History
Never been colored
Professional salon color
At home hair color
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Have you had box color in the last 3 years?
Yes
No
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How often do you like to have your color touched up?
Every 4-6 weeks
Every 2-3 months
Twice per year
Once per year
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Have you ever worn extensions?
Yes
No
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If yes, what did you like/dislike about them?
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What are you goals with extensions?
Add little length, mostly density
Add length and density
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Questions/Concerns?
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Photos of current hair in natural lighting (front + back)
Browse Files
Drag and drop files here
Choose a file
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Photos of inspiration/goal hair
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