New Extension Client Consultation Form

Customized Extensions

I am SO excited you are here to see if you are a candidate for the extension methods that I offer! Please fill out the form and allow 24 hours for a response!
I am certified in a variety of extension methods including Waterfall Beaded Row (WBR), Hidden Bead Sew In, Combline, and SliceStrands.

Whether you are wanting to add fullness, legth or achieve mermaid status, there is an option for YOU!

first priority with extensions is maintaing your hair and scalp integrity. That takes participation from you and I and I will provide you with all the info needed to maintain your extensions safely, and to protect your investment.
Have you had extensions before or are you currently wearing extensions?*

I've had extensions in the pastI'm currently wearing extensionsI've never had extensions
What kind of extensions have you used in the past or are currently using and for how long?
What are your reasons for wanting hair extensions?*

Adding slight length/volumeAdding significant length/volumeAdding volume/fullness to natural lengthAdding color to natural lengthBad haircut or chemical damage
How would you describe your NATURAL hair? (Check all that apply)

FineThickDamagedDryCoarseOilyDullHeavyLimp
Does your natural hair reach your shoulders?

YesNo
What do you currently dislike about your hair?
Do you currently have any hair/scalp issues?

ThinningBald SpotsScalp IrritationBreakageFlakingNone
Is your current natural hair colored?*

YesNo
If YES, are you happy with your current color? Is there anything you would like to change about your current color?
Medical History
Please list allergies in the space provided and include nail, skin, and hair product allergies.
Are you taking any medications that affect your hair growth?

YesNo
Do you suffer from any skin issues? (Excema/Psoriasis/Sensitive Skin)

YesNo
Do you or have you ever experienced alopecia or hair loss?

YesNo
If yes, please explain:
Have you ever had chemotherapy?

YesNo
Are you or could you be pregnant?

YesNo
Have you given birth in the past 6 months?

YesNo
Do you swim or tie your hair up frequently?

YesNo
Do you use tanning beds or spray tans?

YesNo
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail
How did you find/hear about me?
It's picture time!

Please follow the instructions below to upload a picture of your current hair.

MUST BE A CURRENT PHOTO

1. Use your cell phone

2. Please brush your hair

3. If you have naturally straight hair do not send pictures of your hair curled.

4. Have someone else take your picture (NO SELFIES!)

5. Take in the best natural lighting available to you (no flashes or direct sunlight)
Front photo - (if you get massage error, try uploading smaller photo)*

Browse Files

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Back photo *

Browse Files

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Side photo*

Browse Files

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DREAM PHOTO - hair please show color and length you are interested in.*

Browse Files

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Browse Files

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Please describe what draws you to these inspiration photos.
Do you have any additional questions for me or anything else you would like me to know?
Should be Empty:

Customized Extensions

Medical History