Extension Intake Form

1
Full Name* This field is required.
First Name
Last Name
2
Phone Number* This field is required.
Area Code
Phone Number
3
E-mail
4
When is your birthday?
Month
Day
Year
5
Describe your current hair lengthIf unsure of your hair length, please select the longer length. Example - if unsure if your hair is medium or long, please choose long.
Very short (hair length above ear)
Short (hair length that is not past the chin)
Medium length (hair length that is past the chin, to the shoulder but not past the shoulder)
Long (hair length past the shoulder)
Very long (hair length way past shoulder)
6
Describe your hair textureTexture is not how the hair feels but describes the thickness of each individual strand of hair. The comparison is typically to a piece of thread.
Fine
Medium/Normal
Thick/Coarse
Very Fine
Very thick/Coarse
7
Describe your wave pattern
Straight hair
Wavy hair
Curly hair
Coiled/kinky hair
8
Describe the current condition of your hair
Healthy
Dry/slightly damaged
Damaged
Severely damaged
9
Describe your scalp
Dry
Oily
Normal
10
Do you have any irregularities on your head/scalp? If so list belowScars, birth marks, lumps/bumps, dandruff etc.
11
Do you have grey hair?
Not at all
Yes, a few strands
Grey patches in areas
My roots grow in grey
12
How often do you wash your hair?
Daily
Every 2nd day
Every 3-4 days
Every 5+ days
13
What shampoo(s) and conditioner(s) are you using?
14
Name ALL other hair products you are using
15
How do you like your water temperature?
Cold water
Hot water
Cool water
Warm water
16
What do you like most about your hair?
17
If you can change one thing about your hair what would it be?
18
How much hair do you lose?
Lots in my brush
A little in my brush
A lot in the shower
A little in the shower
None at all
19
Which hot tools are you using on your hair?
Flat Iron
Curling Iron
Blow Dryer
Crimper
Wand
Roller Brush
20
How often do you use hot tools on your hair?
Once a month
Once a week
Few times a week
Once a day
Less than once a month
21
Do you use heat protectant before hot tool use?
YESNO
22
What are your long-term hair goals?
Longer hair
Thicker hair
Thinner hair
Healthier hair
other
23
How do you usually wear your hair?
24
When was the last time you coloured/lightened your hair?
25
What did you dislike about a past stylist experience?
26
What did you enjoy about a past stylist experience?
27
What is the worst possible thing I could do to your hair today?
Huge
Large
Normal
Small
Ok
Ok
28
How would you describe your style?
Boho life
Totally glamorous
Sporty gal
Classy & elegant
Vintage vibes
Plain jane
Tomboy
Adorably cute
Hot mess
Alternative chic
29
Have you wore extensions before if so what kind?
30
Do you have a budget if so what is it?
31
What is your daily hair routine?
32
Are you prepared to spend additional time caring for your extensions
YESNO
33
What is your goal colour?
34
Would you like to add length, volume or both?
Length
volume
Both
35
Which type of extensions are you looking for?
Semi - Permanent (stay in)
Daily (Put on & take off)
36
THE NEXT STEP - BOOK YOUR EXTENSION CONSULTATIONWWW.SLEEKBEAUTYBARBER.COM
YOU GOT IT!I CAN'T WAIT!
37
Please send your name and a current hair photo in good lighting, really showing the colour of your hair (Best when taken by someone else) and a photo of your “dream hair” paying close attention to every detail in the photo (Root colour/length, Tone of hair, placement of blonde/colour in hair) to 705 923 9335.Sleek Beauty & Barber Bar
Will do!Im on it!
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