Hair by AshleyWhited

Hair by AshleyWhited

Extension Pre-Consultation Form
Please fill out the form as accurately as you can . It helps me during our consultation provide you with your best options .
Client's Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Client's Phone Number
Format: (000) 000-0000.
Client's Email Address
example@example.com
Occupation
What are some of your hobbies? ( gym, swim, etc )
Have you had extensions previously ?
If so what type ?
Upload an image of your current hair

You can upload multiple files here
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Upload an image of your desired look

You can upload multiple files here
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What are your preferred appointment days?

TuesdayWednesdayFridaySaturdayOther
Are you interested in 3 or 6 month vip packages?

3 month6 monthJust installOther
How long is your hair?

ShortMediumLongOther
What is the current condition of your hair?

Hair lossDamage due to heatSplit endsBreakageItchy scalpHair is dryDandruffOther
What is the condition of your scalp?

DryNormalOilyOther
How often do you apply shampoo and conditioner in your hair?

Every dayEvery other dayTwice a weekOnce a weekOther
When did you last visit a hair salon?

MonthDayYear
Date
When did you last apply professional or unprofessional color in your hair?
What products, if any , are you currently using in your hair ?
Are interested in hearing about financing your purchase ?
How did you hear about us?

FacebookInstagramOnline AdvertisementGoogle SearchReferred by a friendOther
Anything else you would like me to know ?
By signing below, I understand that this is not a consultation . A consultation must still be booked for accurate pricing and cost of extension service.
Client's Signature
Date Signed

MonthDayYear
Date
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