Digital Consultation Form

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number* This field is required.

Please enter a valid phone number.

4

What is your Instagram/TikTok handle?

5

How did you hear about me?* This field is required.

Facebook

Instagram

Google/yelp

Referred by a friend

6

If referred by a friend, whom may I thank for sending you my way?

7

What service(s) do you need?* This field is required.

Hair extension

Color

Hair cut

Brazilian blowout/Keratin treatment

8

The current condition of my hair is....* This field is required.

No hair extensions and never been colored

Currently wearing hair extensions

I currently have colored or chemically treated hair

9

If you curently have hair extensions, what type? i.e wefts, tape-in's etc...

10

Please explain any color and/or chemical history the best you can.

11

Kindly upload a photo of your hair in natural light.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

12

Kindly, upload an inspiration photo here.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

13

Here is your opportunity to tell me anything else about yourself. What is your style, what you like about your hair and what you dislike about your hair etc.