Stephanie Putnam- SJP Hair

Hair Extension Consultation Form
Customer Information
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Hair Condition
Have you had hair extensions in the past?*

YesNo
What are your hair goals with extensions?*

LengthThicknessAdded Color
What length of hair would you like?*

14-16"18"22"24"
What is the length of your hair currently?*

Above the ShouldersAt the ShouldersBelow the Shoulders
What best describes your hair texture?*

Very fine and thinFine, but a lot of hairMediumThick and coarse
Desired Hair Length*

16-18"20-22"24"
Hair Goals*

LengthThicknessBoth
Are you looking for color and extensions?*

No, I want to keep my current hair colorYes, I'd like to go much lighterYes, I want my blonde touched upYes, I'd like to go darkerYes, I'd like a big change
Tell me more about your current condition of your hair. What do you like or don't like?*
Ideally, how soon would you like your extensions appointment?*

ASAP1-3 Months3+ Months
Please add any additional information, questions or comments below.
Please upload an image of your current hair
Please upload an image of the hair that you want or your inspiration

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Acknowledgment
- I confirm that all information I entered in this form is accurate and true.
By signing below, you agreed that you have read and understood the terms and agreement above.
Signature*

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Date Signed*

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Hair Extension Consultation Form