Hair Extensions Consultation Form

1
Full Name* This field is required.
First Name
Last Name
2
E-mail* This field is required.
3
Phone Number* This field is required.
Area Code
Phone Number
4
Prefered method of contact?* This field is required.
Email
Phone Call
Doesn't Matter
Text Message
5
Preferred Service Location* This field is required.
Maryland
Georgia
Pennsylvania
Not Listed
6
What service are you most interested in?
Natural Hair Maintenance
Quick Weave
Sew - In
Tape In Extensions
K-Tip Extensions
7
Have you received professional extension services before?
YESNO
8
What type of extensions have you had previously?
Quick Weave
Sew - In
Tape In
K-Tip
Clip Ins
I-Tip
Other
9
When was your last professional hair appointment?
Date
Year
Month
Day
10
How would you describe your natural hair texture?
Straight
Wavy
Curly
Coily
Not Sure
11
What is the current length of your natural hair (unstretched)?
Above ear (Less than 4")
Ear to Chin
Shoulder Length
Collarbone to Mid-Back
Mid-Back or Longer
12
Is your hair currently chemically processed?
Relaxed
Color Treated
Bleached
Keratin or Smoothing Treatment
None of the above
13
Do you have any scalp or hair conditions that we should be aware of?
YESNO
14
Please describe your condition or provide a diagnosis if available.
Huge
Large
Normal
Small
Ok
Ok
15
Have you experienced significant breakage, thinning, or hair loss recently?
YESNO
16
Are you currently taking any medications that affect your hair or scalp?
YESNO
17
Please list the medication(s) and how long you've been taking them.
Huge
Large
Normal
Small
Ok
Ok
18
What is your current hair care routine?
Huge
Large
Normal
Small
Ok
Ok
19
Do you have any concerns with your natural hair?
Dryness
Breakage
Shrinkage
Tangling
Styling Difficulty
None
20
Are you interested in treatments such as steam, protein, or hydration therapy?
YESNO
21
Would you like styling after your treatment?
Silk Press
Blowout
Protective Style (twists, braids, etc.)
None
22
Do you have any leave-out preferences?
Yes - Minimal Leave Out
Yes – Side or Middle Part
No – I prefer a closure install
Not Sure
23
Do you currently have a closure or frontal?
YESNO
24
Do you need assistance with selecting or purchasing hair?
YESNO
25
Desired style/look (please upload inspiration photo or describe)
Huge
Large
Normal
Small
Ok
Ok
26
Have you had tape-in or K-tip extensions before?
YESNO
27
Is your hair at least shoulder length and in healthy condition?
YESNO
28
These methods may not be recommended for short or weakened hair. We will provide recommendations during consultation.
29
Do you plan to wear your hair up frequently (ponytails, buns)?Helps decide placement or method
YESNO
30
Would you like to blend colors or try an ombré/balayage effect with extensions?
YESNO
31
If Yes, show note about hair customization options & pricing
32
Do you prefer your consultation to be:
In-Person
Virtual via Zoom
No Preference
33
Preferred Consultation Date/Time:
34
Preferred REPro (if known)* This field is required.
Please Select
Please Select
Any Graduate
Any Stylist
Any Top Stylist
Any Senior Stylist
John - Graduate
Jane - Graduate
Rain - Stylist
Ron - Top Stylist
Jeanette - Top Stylist
Mike_T - Top Stylist/Technician
Elton - Senior Technician
Wayne - Senior Stylist/Technician
Atacan - Art Director
Conal - International Art Director
Liyam - Director
35
Other details you may wish to highlight
36
Add me to your mail list
Yes please
37
Upload picture
Drag and drop files here
Select files to upload
Max. file size: 10.0MB
Cancelof
Should be Empty: