Hair Extension Consultation Form
Customer Information
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Hair Condition
Have you had hair extensions in the past?
*
Yes
No
What are your hair goals with extensions?
*
Length
Thickness
Added Color
What length of hair would you like?
*
14-16"
18"
22"
24"
What is the length of your hair currently?
*
Above the Shoulders
At the Shoulders
Below the Shoulders
What best describes your hair texture?
*
Very fine and thin
Fine, but a lot of hair
Medium
Thick and coarse
Desired Hair Length
*
16-18"
20-22"
24"
Hair Goals
*
Length
Thickness
Both
Are you looking for color and extensions?
*
No, I want to keep my current hair color
Yes, I'd like to go much lighter
Yes, I want my blonde touched up
Yes, I'd like to go darker
Yes, 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?
*
ASAP
1-3 Months
3+ 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
*
Date Signed
*
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Month
-
Day
Year
Date
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