Hair Extensions Application
New Clients Only
Name
*
First Name
Last Name
Email
*
example@example.com
Instagram Handle:
www.instagram.com/example/
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date
*
-
Month
-
Day
Year
Today's Date
How did you hear about us?
*
Have you ever worn Hair Extensions before?
*
Yes
No
If You Marked YES, Which Method(s) Have You Tried?
What Was Your Overall Experience?
What Are You Looking To Achieve With The Addition of Hair Extensions?
Are You Looking To Have Extensions Added For A Special Event?
*
Yes
No
If You Marked YES, What Occasion Are We Celebrating?
If You Are Looking To Find Out More Information About A Special Brand or Method Please List Below
Are you happy with your current color?
*
Yes
No
Are You Looking to Change Or Update Your Current Color?
*
Yes
No
If Yes, In Which Direction Would You Like To Go?
LIghter
Darker
More Dimension
I'm Not Sure
Which of the Following Best Describes Your Hair?
*
Fine/Thin
Medium/Average
Fine, But A Lot Of It
Coarse/Thick
Which of the Following Best Describes The Amount Of Hair?
*
Very Little
Medium
Thick
Super Thick
What Is The Current Length Of Your Hair?
*
Short (Bob/Pixie)
Medium (Shoulder Length)
Long (Upper Back)
Extra Long (Mid-Back and Lower)
Describe your hair type: curly, straight, or wavy
Which One Best Describes Your Hair's Condition?
*
Healthy Overall
Healthy, With Some Slight Signs of Dryness At The Ends
Slightly Compromised, Damaged From A Past Hair Situation
Over Processed/Broken
Please upload a current picture of the FRONT of your hair in good lighting
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload a current picture of the SIDE of your hair in good lighting
*
Browse Files
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Choose a file
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of
Please upload an INSPO picture of the desired COLOR
*
Browse Files
Drag and drop files here
Choose a file
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of
Please upload an INSPO picture of the desired LENGTH
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Which Stylist Are You Looking To See?
*
Please Select
Young Gorman
Sofie Cioce
Paula Ghiurutan
Melissa Torres
Yeri Lee
First Available Stylist
Please Choose From List Above
Submit
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