Extension Intake Form

Are you ready for the hair of your dreams?
Here is where it all begins.

This intake form will provide us with vital information to determine if you are a canidate for the extensions I offer.

My commitment to continued education ensures you’re always receiving the best care for your hair and scalp. The hair industry is constantly evolving, and I make it a priority to stay at the forefront of new techniques, methods, and products—especially in the specialized world of hair extensions. This dedication allows me to provide services that are not only beautiful and seamless but also prioritize the health and longevity of your natural hair.

After you submit this form you will be taken to book your consult.

Can't wait to see you soon!
Email*
example@example.com
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
How did you hear about us?*
Who can we thank for the referral?
Have you ever worn extensions before?*

YesNo
Which methods have you tried?
What was your overall experience?
What are you looking the achieve with hair extensions?*
Do you have any areas of concern? (Broken, hair loss, bald patches etc)*
Which of the following describes your hair?*

Fine/ThinMedium/AverageCoarse/ThickFine, but a lot of it
Is your hair currently at least shoulder length?*

YesNo
Is your hair currently colored?*

YesNo
Are you wanting to change or update your color?*

YesNo
In what direction do you want to go?

LighterDarkerAdd dimensionI'm not sure and I'd like some guidance
Which best describes your current hair's condition?*

Healthy overallSome dryness at the endsSlightly compromisedDamaged/broken
Time Expectations
An in person consultation will be needed to complete prior to placing an order and scheduling your install. Would you be willing to devote 30 minutes to discuss your goals and review options with us?*

YesNo
All extensions require some form of maintenance to keep your hair healthy, the average being 7-10 weeks for hand tied extensions. Would you be willing to commit to coming in to maintain your look?*

YesNo
Follow the Instructions Below To Upload Your Current Photos.

Must Be A Photo Of Your Current Hair.

- Use Your Cell Phone. (Professional Camera Images Are Too Large To Upload Into Our Form)

- For Best Results, Have Someone Else Take The Photo For You. (No Selfies)

- Take Indoors In Natural Lighting. (No Flashes Or Direct Sunlight)

- Take Two Photos—Front And Back.

Please Send At Least 2 Inspirational Photos. (Images Of What You Are Trying To Achieve)
Front Photo*

Cancelof
Back Photo*

Cancelof
Inspiration Photo*

Cancelof
Inspiration Photo

Cancelof
Should be Empty:

Are you ready for the hair of your dreams?

Time Expectations