Digital Consultation Form

Full Name*

First NameLast Name
Hi...I'm so happy you're here! This helps me assess your needs and create a game plan for your hair! I will reply via email within a day (BE SURE TO CHECK YOUR JUNK MAIL).
Address*

Street Address

Apt #

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
E-mail*
How did you find/hear about me?*
What are your reasons for wanting hair extensions? Check all that apply.*

Adding slight length/volumeAdding significant length/volumeAdding volume/fullness to natural lengthAdding complete coverage to cover a bald spot(s)Other
Have you worn extensions or a hair piece or are you currently wearing extensions?*

I've had extensions in the pastI'm currently wearing extensionsI've never had extensionsI wear a topper occasionallyI wear a topper or a wig anytime I am out in publicOther
Have you been diagnosed with a specific hair loss condition? If YES, please type answer below. *
Do you have weekday daytime availability?*

YESNO
Sometimes, I can accommodate appointments outside my normal working hours that may help to find sooner availability. These "Premium Rate Appointments" are priced 100% higher.
Would you like to be notified of any Premium Rate Appointments?*

YESNO
All photos submitted are PRIVATE and are never shared or used outside of this form.

When taking photos, please take with your hair down (no messy buns, hats, braids, ponytails). Don't worry about looking your Sunday best! I'm just looking for a current photo of your hair and/or scalp.
Current Hair Photo (no filter). I am looking for a front or side photo with your hair down. Please no hats, braids, ponytails, messy bun, etc...*

Browse Files

Cancelof
Current Photo of any areas on the scalp you are hoping to cover (no filter).

Browse Files

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Inspiration/Desired Hair Photo (If you have one. If you don't, that's ok!)

Browse Files

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Include here an additonal photo if you have one that you want me to see.

Browse Files

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Do you have any additional questions for me or anything else you would like me to know?
Please sign below and click the SUBMIT button.

I CANNOT STRESS ENOUGH ABOUT CHECKING YOUR JUNK MAIL. I WILL 100% REPLY, SO IF IT ISN'T IN YOUR REGULAR INBOX, IT WILL BE IN YOUR JUNK MAIL!

I look forward to working with you and helping you achieve your dream hair!

Chat soon,

Angela
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