Name
*
First Name
Last Name
Phone Number
*
Email Address
*
example@example.com
Have you worn extensions before?
*
Yes
No
I currently wear extensions.
If you answered yes, what kind?
What do you want to achieve with hair extensions? check all that apply
*
Length
Volume and Fullness
Enhanced Color
All of the above
What do you want to achieve with your color?
*
All one solid color
Same color with some highlights and enhancements
Looking for a major change
I love my color but a clear gloss to add shine
How do you describe your hair?
*
Fine/Thin
Medium/Normal
Thick/Coarse
Unmanageable and tangles easily
Damaged please help
Would you like to add makeup to complete your makeover?
*
Yes
No
Would you like to add a scalp massage to your appointment?
*
Yes
No
Please write a brief description of your hair history, any color or chemical services in the past year or two.
*
What days and times work best for you?
*
Morning
Afternoon
Tuesday
Wednesday
Thursday
Friday
CURRENT HAIR PHOTOS (Please pull all hair to the front for your front and all back for your back photo)
*
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You can upload multiple files here
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GOAL LENGTH
*
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You can upload multiple files here
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GOAL COLOR
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of
Any special instructions, comments, or suggestions?
THANK YOU
PLEASE TEXT ME AT 408-218-5449 TO LET ME KNOW YOU HAVE SUBMITTED YOUR FORM. YOU SHOULD RECEIVE A RESPONSE FROM ME IN A TIMELY MANNER.
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