You can always press Enter⏎ to continue
NEW EXTENSION CLIENT FORM
Hey there! If you are a new client please fill out and submit this form to confirm your booking.
18
Questions
START
1
Full Name
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
2
Email
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
3
Phone Number
*
This field is required.
Please enter a valid phone number.
Previous
Next
Submit
Press
Enter
4
Have you ever had extensions before?
*
This field is required.
If yes, which method?
Previous
Next
Submit
Press
Enter
5
What is your desired outcome?
*
This field is required.
Density, length, enhance color etc
Previous
Next
Submit
Press
Enter
6
How would you describe your hair?
*
This field is required.
Select all that apply
Fine
Damaged
Overall Healthy
Thick (Density)
Other
Previous
Next
Submit
Press
Enter
7
Please provide your hair history from the past year
*
This field is required.
Previous
Next
Submit
Press
Enter
8
How tall are you?
*
This field is required.
This will help us decide on length later
Previous
Next
Submit
Press
Enter
9
Do you have any metal sensitivity?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
10
Have you ever experienced alopecia or any other medical condition resulting in thinning?
*
This field is required.
YES
No
Previous
Next
Submit
Press
Enter
11
Are you on any medications that have effected your hair growth?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
12
FRONT
*
This field is required.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Cancel
of
Previous
Next
Submit
Press
Enter
13
BACK
*
This field is required.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Cancel
of
Previous
Next
Submit
Press
Enter
14
SIDE
*
This field is required.
left
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Cancel
of
Previous
Next
Submit
Press
Enter
15
SIDE
*
This field is required.
right
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Cancel
of
Previous
Next
Submit
Press
Enter
16
Inspo Pic #1
*
This field is required.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Cancel
of
Previous
Next
Submit
Press
Enter
17
Inspo Pic #2
*
This field is required.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Cancel
of
Previous
Next
Submit
Press
Enter
18
Inspo Pic #3
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Cancel
of
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
18
See All
Go Back
Submit