Hair Extension Application Form

Hair Extension Application

Welcome, and thank you for your interest in working with me on your hair extension needs. In order to determine your next step with a professional hair extension solution, please complete this form. Thank you! -Becca Oyler
Name:*

First NameLast Name
Email Address:*
example@example.com
Phone Number:*
Please enter a valid phone number.
Instagram Handle*
Best Way to Contact You:. *

EmailTextInstagram Direct Message
How would you describe your natural hair texture?*

FineMediumCourse
How would you describe your natural hair type?*

StraightWavyCurly
How would you describe your hair thickness?

Very ThinThinMediumThickVery Thick
Please list all of your current haircare products, including shampoo, conditioner & styling products:*
How would you describe the current length of your hair?*

PixieShortMediumLong
Upload a current photo of your natural hair.

Cancelof
How would you describe your overall hair quality? Check all that apply. **

ThinningLacks VolumeDryFrizzyDamagedColored or highlightedBleach processedMostly Healthy
Have you ever had cancer, chemo or radation treatments?

Yes, I've had CancerYes, I've had ChemoYes, I've had RadationNo I haven't
Are you currently on any medications that list hair loss as a side effect? If so, please list them.
Do you have any health concerns that cause hair loss? (Thyroid, Alopecia, Etc)*
Have you had a baby within the last 6 months?*

YesNo
How would you describe your scalp?*

NormalDryOilyOther
How often do you wash your hair?*

DailyEvery other dayTwice a weekOnce a week7+ Days
How do you most often style your hair? (check all that apply)*

Air DryBlow Dry/DiffuseHeat Styling (Straightener/Curling Iron)
How often do you wear hair in a pony tail or messy bun?*

DailyA few days a weekOnly if neededWhen I work out
What is your main hair concern right now or desired goal? Please feel free to share anything else you'd like me to know about your hair!*
What benefits are you looking to get from hair extensions?

FullnessLength + Fullness
If available, upload inspirational photos of your desired look.

Cancelof
Have you ever worn extensions before? If so what kind?

Hand Tied Sewn InTape InsClip InsHaloKeratin / ItipNever had extensions before
If you've had extensions before, were there any problems or concerns that you had?
Hair Extension pricing ranges depending on your end goal, current hair length & density. This sheet will help you more easily determine what price range you would be in. The extensions typically last 9-12 months depending on proper at home care & maintenance.

Move up appointments are required every 6-8 weeks to ensure minimal tension to your own natural hair.
Should be Empty: