Hair Extension Consultation Form
Brush Beauty Bar Inc. & Brush'd The Label
Full Name
*
Email
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Phone Number
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How did you find out about us?
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Have you worn extensions before? If so, please indicate which method(s) you had
*
Which stylist would you like to see?
Natalie With-Seidelin
Samantha Money
Michelle Jende
Do you currently have hair extensions in?
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Yes
No
Please select any conditions that apply to you:
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Thinning Hair
Balding
OCD
Chemotherapy
Thyroid Condition
None
Other
Have you been pregnant within the last 4 months?
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Yes
No
Please list any medications you are currently taking:
*
Please check all that apply to your lifestyle:
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Active
Frequent Swimmer
Wears hair up constantly
Sleeps with wet hair
Uses drug store hair care
None
Other
Do you use salon grade hair care?
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Yes
No
Are your goals to achieve length, volume or both with extensions?
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Length
Volume
Both
Please upload 1-3 inspiration photos
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Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload photos of your current, natural hair from the back and sides
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
I acknowledge and understand Brush Beauty Bar Inc.'s cancellation policy. Brush Beauty Bar Inc. requires 48 hours notice to cancel or reschedule your consultation. After the consultation a 50% deposit and credit card will be required to book any and all install appointments. If you are a no show, cancel or are 15 minutes or later to your install appointment a 100% of your service of will be charged.
*
I acknowledge
I do not acknowledge
Should be Empty: