New Client Extension Request Form
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Have you worn hair extensions before?
Yes
No 2
If yes, what type?
Describe your experience with hair extensions (good or bad):
Have you ever suffered from hair loss?
Are you allergic to metal and/or do you have any allergies that I need to be aware of?
What is your ultimate goal with extensions? Fullness, length or both?
Describe your current hair length and density (i.e. shoulder length and thick):
Is your hair currently colored?
Are you looking to change your current color or maintain your current canvas?
Please upload 3 photos of your current hair (front, back and side) in indirect natural lighting. If you need any color corrective work done, please upload photos of your "problem" areas:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload AT LEAST 3 photos of your color inspiration:
Browse Files
Drag and drop files here
Choose a file
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of
How tall are you
Ideally where would you like to see the extensions hit on your body? (i.e. waist)
Are you willing to commit every 8-10 weeks to maintenance appointments as well as the use of professional products recommended by me to maintain the integrity of your hair?
Please list any questions or concerns you have about getting extensions:
Signature
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