Melissa Vera Hair

Hair Extension Consultation Form
What is your name?*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
How did you hear about me?

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Have you had extensions before?

YesNo
If yes, what kind/method?
Did you have any problems and/or damage with your previous hair extension method?
What are your reasons for wanting hair extensions?*
Which of the following most closely describes your hair texture?*

FineMediumCoarse
What is your hair type?*

StraightWaveyCurly
Is your hair color treated?*

YesNo
What would you like to achieve with extensions?*

Fullness (One row)Fullness and Length (Two - Three rows)
What is your hair density?*

VERY thinSomewhat thinMediumThickVERY thick
Do you have a sensitive scalp or skin?*

YesNo
Other Considerations

Are you allergic or sensitive to any adhesives, metals, or hair/skin products?

Are you currently taking any medication that has side effects that can cause hair thinning and/or hair loss? Do you have thyroid issues? Or vitamin deficiency issues?

Do you have now, or have had in the past, any problems with hair loss (shedding, breakage, balding, alopecia, thinning hairline, psoriasis of the scalp, eczema on the scalp, etc)? If yes, have you seen a dermatologist?

Do you have any damage due to previouse chemically treated hair treatments?
If yes to any of the above questions please explain here*
Finally, time to show me some Inspiration!
Please send me two photos of your hair. They are for my eyes only so that I can determine our starting point.

Instructions:

~ To get the most accurate representation please have a friend take your images in NATURAL, SHADED light. No selfies, please!

~ Submit one photo of the front of your hair

~ Submit one photo of the back of your hair
FRONT*

Browse Files

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BACK*

Browse Files

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Finally, time to show me some inspiration!

Submit a photo of your inspiration of the color and length you are going for! Can't wait to see!
INSPO PIC*

Browse Files

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Pricing & Details

If you choose to move forward with the install, a non-refundable deposit is due at the end of the consultation. This deposit will go towards the remaining balance due at install appointment.

Your first extension install includes:
- 100% remy human hair
- Custom hair match + Color (if needed)
- Cutting extensions to give the best possible blend
- Style out (Wash, blowout, curls)
Below is an average price for your initial install. These prices can vary due to the length and fullness you desire/need.

Initial investment:

18"

One row install: $850

Two row install: $1650

22"

One row install: $1200

Two row install: $2000

Maintenance appointments:

$175/row

Maintenance:

All extensions must be moved up every 8-10 weeks.

Maintenance appointments can be stand alone appointments, or done when you are due for color as well. I require you to come with clean/dry hair for move ups. Wash and blowouts are not included in move up appointments unless recieving color at same appointment.

You can expect to purchase new hair every 9-12 months, it depends on how well you take care of your extensions.

For more information on how to care for your extensions, please read the Extension care section.

Thank you for taking the time to fill this out, you will hear back from me in the next 48 business hours.
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Hair Extension Consultation Form