Mesh Integration Consultation
Personal information
Name
*
First Name
Last Name
Birthday *if you are under the age of 18 a parent/guardian must be present for the consultations & appointments
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
How did you hear about this service?
*
Hair Loss History
When did you first notice hair loss?
*
Have you been diagnosed with a specific hair loss condition? if yes please specify and explain.
*
Have you tried any treatments for your hair loss? If yes please explain.
*
Lifestyle & Health
Do you have any known allergies? (especially ones related to hair products/materials)
*
Are there any lifestyle factors that could be affecting your hair health? for example diet, hair routine, medications, etc
*
Please list any medications or supplements you are currently taking or have taken in the past 12 months.
*
Expectations and Goals
What are your main concerns with your hair loss? Also what are your concerns with the mesh integration?
*
What outcome would you like to see from the mesh integration service?
*
Previous Hair Care & Styling
What is your current hair care routine?
*
Have you used hair extensions or wigs before? If so please describe your experience
*
Lifestyle
How active is your lifestyle? (exposure to water, exercises, outdoor activities, etc.)
*
Do you have any specific needs or concerns regarding hair care maintenance?
*
Goals for appearance
What is your preferred hair length, color, and style?
*
Are there any specific looks or inspirations you have in mind for your hair integration?
*
Consent and Agreement
By signing I consent to a scalp examination for assessing suitability for mesh integration. Sign to consent.
*
By signing below I agree to follow the mandatory care and maintenance for the mesh integration. Sign to consent
*
By signing below I agree to follow all rules given to me by my stylist Lindsey McFadden & the salon Color Me Studio. I acknowledge that not obeying these rules could cause damage to my natural hair. Sign to consent
By signing below I grant permission to my stylist Lindsey McFadden & Color Me Studio to capture photos and video footage of my appointment to use in marketing, training, and other relevant purposes, without compensation for use. I understand a face shield will be provided to me if requested to hide my identity. Sign below to consent
Continue
Continue
Should be Empty: