Hair Extensions Consultation Form
Please fill out this form if interested in hair extensions.
Client's Name
*
First Name
Last Name
Client's Phone Number
*
Format: (000) 000-0000.
Are you wanting to add length, volume or both to your hair?
*
Length
Volume
Both
How long is your hair now?
*
Please Select
Short
Medium
Long
Upload an image of your current hair
*
Browse Files
Drag and drop files here
Choose a file
You can upload multiple files here
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of
What is the current condition of your scalp?
*
Normal
Dry
Oily
What is your hair texture?
*
Fine
Medium
Course
What is your hair type?
*
Straight
Wavy
Curly
Are you willing to come in for maintenance appointments if you choose to get extensions applied?
*
Yes
No
Maybe
*
Rows
Yes
No
Have you had extensions before?
Do you take any medications that effect your hair?
Do you have any allergies?
Do you style your hair regularly?
Will you need your hair colored as well?
*
Yes
No
Signature
*
Date Signed
*
-
Month
-
Day
Year
Date
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