Hair Extension Request Form
Hello my name is Jamie and I am the owner of JL Hair Studio. I am so excited to be a part of your extension journey. The first step in that journey is for us to get to know each other a little better. The more information I have about you - your lifestyle, scalp health, home care routine, hair goals, etc - the better I will be able to meet (and exceed!) your expectations. The more you know about my process - onboarding, policies, expectations - the less overwhelming (and stressful) the consultation will be. This process should take about 20 minutes in total. Be sure that you have dedicated time to dive in before starting. I strive to make working with me low pressure. So if you need to come back at a later time, please don't feel pressured to start right away. After all, getting your hair done should be a pleasant experience! Paperwork might not be, buy I promise to keep it to a minimum!
Your Name
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First Name
Last Name
Your Phone Number
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Format: (000) 000-0000.
Your Email Address
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example@example.com
How would you like to be contacted?
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Text
Email
Are you wearing extensions currently?
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Yes, I am.
Yes, but they will be taken out prior to our consultation.
No, but I've worn them before.
No, and I've never worn them before.
How many rows are you wearing? Or if not wearing any currently - how many rows did you wear previously?
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1 Row
2 Rows
3 Rows +
Tape In Extensions
I Tip Extensions
Keratin Bonds
I've never worn extensions.
Extensions are a luxury investment. So that I can recommend the best custom solution for you, what is your beauty budget?
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Under $800
A maximum of $800-$1,200
Between $1,200-$2,000
Whatever it takes for my dream hair!
Extensions require frequent maintenance. How often are you comfortable coming in?
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Every 5-6 weeks
Every 7-8 weeks
Every 3 months
I'm looking for a more temporary solution.
Whatever you recommend!
Extensions are a very detailed service. How much time are you comfortable spending in the salon for maintenance appointments?
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2 hours or less
3-4 hours max
4-5 hours max
6-7 hours max
However much time you need!
Your at-home routine will change with extensions. How much time are you willing to dedicate to caring for them?
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I don't want to add any extra time.
I can dedicate a little more time (15mins max)
I can dedicate more time (30-45mins max)
I can dedicate a lot more time (over an hour)
I can dedicate whatever time you tell me to!
To love your extensions, you also need to love your hair color! What best represents how you feel about your color currently?
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I love it! I don't need anything changed.
It's damaged but I like the color.
It's damaged but I want it lighter.
It's damaged but I want to go darker.
It's okay. I think I could use an update.
I don't like it and I want a big change.
I hate it! I want a total transformation.
It's a mess and I need a color correction.
Please upload 3 images of your current hair. 1 from the front (include your face), 1 from the side, and 1 from the back. Enlisting a helper is recommended for the back of the head photo. These photos must be taken in indirect light (inside your house near a window without the rays hitting you.) Please do not send old photos, photos with filters/editing, or photos in direct sun or florescent/ bathroom lighting.
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Browse Files
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of
Please upload a picture of your dream hair.
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Browse Files
Drag and drop files here
Choose a file
Cancel
of
How often do you wear your hair up in a ponytail/bun/braid/upstyle?
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Daily
Every other day
A couple of times a week
Once a week
Just a couple of times a month
How often do you wash your hair?
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Everyday
Every 2-3 days
Every 4-7 days
Every 8-19 days
11+ days
Does your scalp ever get irritated?
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Yes it's itchy or burn-y all of the time.
Yes it gets itchy or burn-y sometimes.
No, never.
Have you ever suffered from dandruff, eczema, folliculitis or psoriasis? If so, please list everything that applies. Please also detail when these issues occured and whether they are current.
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If you haven't had any of these please type "N/A" in the box above.
Have you noticed any change in the density of your hair or the amount of hair you are shedding? If so please list when these changes started and if they are ongoing or have stopped.
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If you haven't had any of these please type "N/A" in the box above.
How did you hear about us?
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Facebook
Twitter
Instagram
YouTube
Online Advertisement
Google Search
Referred by a friend
Newspaper/Magazine
Other
If you have been referred by someone, please let me know who I can thank.
Is there anything you want to share with me that we did not cover?
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By signing below, I agree to the terms and conditions of the salon company.
Client's Signature
Date Signed
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Month
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Day
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Date
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