New Hair Extension Guest Form

Hello and thank you for considering Wild Rose Studio for your hair care needs!

This New Guest Intake will take about 8 minutes to detail your hair history and goals so we can best serve you. The more information we have about your lifestyle, scalp health, home care routine, and goals, the better we can meet (and exceed) your expectaions!

Be sure you can set aside these few minutes to answer without the added pressure of being crunched for time. Getting your hair done should be relaxing, and your experience begins here.

Before you begin, please take 3 photos of your current hair showing the full front, side, and back view of current hair. Indirect, natural light is best (by a window, out of sun rays). Please do not use old or filtered photos, or photos in direct sun or flourescent/bathroom lighting.
Your Name*

First NameLast Name
Your Email*
example@example.com
Your Phone Number*
Please enter a valid phone number.
TextEmail
Where will you be visiting from?*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about us? Instagram, Facebook, Google, a friend?
Mention your friend's name so they can get a gift on us!
SundayMondayTuesdayWednesdayThursdayFridaySaturday
8 AM - 12 PM12 PM - 4 PM4 PM - 8 PM
Yes, I am.Yes, and they will be taken out prior to consulting with you.No, but I've worn them before.No, and I've never worn them before.
Under $1,000 (density fill in on sides only)$1,500-$3,000 (some length and non-chemical color and/or texture manipulation)$4,000-6,000 (max length and non-chemical color and/or texture manipulation)Whatever it takes for my dream hair!
Every 5-6 weeksEvery 7-8 weeksEvery 3 monthsI'm looking for a more temporary solution.Whatever you recommend for my dream hair!
3 hours or less3-5 hours5-8 hoursHowever much time you need for my dream hair!
I don't want to add any extra time.I can dedicate 15 minutes more.I can dedicate 20-30 minutes more.I can dedicate however much time you recommend!
I love it and don't want to change anything!It's damaged, but I like the color.It's damaged, but I want it lighter.It's damaged but I want to go darker.It's okay, but it could use an update.I don't like it and I want a big change.It's a mess and I need a color correction.
I'd like pops of color with extensions only and NO color on my natural hair.I want to conceal an extremely thinning part line or section of my head.I'd like a large color transformation using extensions and NO color on my natural hair.I'd like to add some volume or density in finer areas.I want some more length and volume.I want the most length and volume extensions can safely get me!I'd like an temporary extension solution for a night out!
WavyCurlyCoilyStraight
CreamsGelsFoamsLeave-insOilsShea Moisture/Curlsmith/Shea Butter/Coconut Oil/Avocado OilNone
Please discontinue use of Shea Moisture/Curlsmith/Shea Butter/Coconut Oil/Avocado Oil products beggining now and leading up to your appointment. These can leave a very distinct buildup on the hair that could potentially prevent us from reaching your cut and color goals. If you need product recommendations in the meantime, please don't hesitate to reach out to wildrosestudioma@gmail.com. Thank you!
Salon ColorAt home colorSalon LighteningKeratin/permanent straighteningOvertoneHennaHair lightening spray (Sun-In)None
No color services are guaranteed after the use of Overtone/Home/Henna hair color due to potential volatile chemical reactions in the hair.
How dark/what shade was your at-home color, and how many times was your hair colored with it?*
DailyEvery other day1-2x/week8+ days
DailyEvery other dayOnce a weekJust a few times a month
Yes, it gets itchy or burn-y often.Yes, it gets itchy or burn-y sometimes.No, never.
Have you ever experienced dandruff, eczema, psoriasis, or folliculitis? Please note which and when they occurred or if they are current.*
Have you noticed any change in the density of your hair or the amount of hair you are shedding? If so, please note when these changes started and if they're ongoing or have stopped.*
YesNoNot sure
Are you taking any medications that are known to cause hair loss?*
When are you looking to have your extensions installed?*
NoYesIf yes, please describe.
Please upload 3 images of your current hair. Please show the full front, side, and back view of current hair. Indirect, natural light is best (by a window, out of sun rays). Please do not use old or filtered photos, or photos in direct sun or flourescent/bathroom lighting.*

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Please upload 1-2 images of a hair color and cut that inspires what you'd like to possibly achieve. The closer it is to your natural pattern (straight, curly, coily), the easier it is for you to visualize it on yourself.*

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Is there anything else you'd like to share. Please also include ANY allergies.*
I understand that if I proceed with my consultation, I must arrive with my hair in the current state, length, and color that I wish to match with the extensions. I acknowledge that any changes in my hair’s length and/or color between the date of consultation and installation may result in a change in price or the cancellation of my appointment altogether.I hereby grant Wild Rose Studio / Serena Avocosta permission to use my likeness in photographs, videos, or other digital media ("photos") in any and all of their publications, including web-based and social media platforms. I understand that these will mostly be before and after photographs showing my face. If I am not comfortable having my face shown on social media, I agree that photos of my hair and the work done—taken from the back—may be shared instead.By signing below, I confirm that all the information above is true and accurate.*

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Date Signed*

MonthDayYear
Date
We will reach out to you by your preferred method of contact within 48 hours. Look out for an email from WildRoseStudioMA@gmail.com!

Thanks + talk soon!
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