Hair Extension Consultation Form
I am excited for you to take your first step towards achieving your dream hair. Please be advised that hair extensions are not an option for everyone. My job as a professional is to offer you the method that will allow your natural hair to stay healthy and in the best condition possible. This consultation for is a preliminary screening process to see what extension method is best for you and your lifestyle. Clients will need to come in for a person to person consultation for accurate color and texture matching, questions concerns, maintenance, pricing and information on how to take care of your new investment.
Full Name
*
First Name
Last Name
Preferred Pronouns
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She/Her
He/Him
They
E-mail
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Is this your fist time with hair extensions?
Please Select
Yes
No
If no, What type of hair extensions have you had in the past? What was your experience?
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What type of hair extensions are you interested in?
Strand By Strand Hair Extensions (Keratin Tip / I Tip/ Microloop)
Tape In Hair Extensions
Microbead Sew In Hair Extensions (Handtied/Machine/Flat Wefts)
Microlinks Weft Hair Extensions
Clip In/Toppers/Halos
Will you need to refresh your natural color to match your hair extensions?
Yes
No
Do you have any allergies or sensitivties to hair products or adhesives?
Yes
No
Are you experiencing any of the following scalp or hair issues (click all that apply)
Thinning or Balding
Dry Hair/Scalp
Oily Hair/Scalp
Hair Breakage ( midshaft to ends)
Hair Shedding (white bulbs on tips of the hair)
Damage due to chemicals/heat/hormones
Dandruff/Flaky Scalp
Receding hairline
Alopecia
How would you describe your hair? (click all that apply)
Thick
Fine
Average
Damaged
Course
Straight
Wavy
Curly
Thin
Frizzy
Are you taking any medication that list hair loss as a side effect?
Yes
No
Are you applying anything topical to taking anything to help with hair loss or scalp problems?
Yes
No
Have you in the past year experienced any health changes that may result in hair loss? (Pregnancy, Chemotherapy, Covid, Hormone changes)
Yes
No
How did you hear about me?
Instagram
Facebook
Yelp
Google
Referral
Other
Are you ok with before and after pictures for publication?
Yes
No
In order to guarantee a successful hair extension experience an in salon and at home maintenance schedule must be followed. Are you willing to follow a specific routine to optimize the health of your natural hair and the longevity of your hair extensions journey?
Yes
No
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