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11
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1
Hair Extension Inquiry
Rebel & Rose Studio
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2
Name
First Name
Last Name
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3
Phone Number
Area Code
Phone Number
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4
Have you worn hair extensions prior to this?
YES
NO
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5
Do you air dry your hair more than styling it?
YES
NO
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6
On a scale from 1-10 (10 being the best) how good would you say you are at styling your hair with heat tools?
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7
Do you have any scalp issues/ hair loss I should know about? If so please specify below.
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8
Are you looking to add Length or just some fullness to your hair?
Length
Fullness
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9
What is your hair texture?
Curly
Wavy
Straight
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10
How would you define your hair density?
Fine
Medium
Thick
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11
How long is your natural hair currently?
Chin
Shoulder
Collarbone
Past your chest
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