Extension Consultation Form

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number

Please enter a valid phone number.

4

What’s your IG or FB handle?* This field is required.

5

Have you worn extensions before? * This field is required.

YESNO

6

What type & for how long?

7

Were you happy with your previous experience? Why or why not?

8

Do you currently wear extensions? * This field is required.

YESNO

9

What type & for how long?

10

Are you experiencing any thinning or hair loss? * This field is required.

YESNO

11

Please share details, so we can find the best solution for you.

12

How would you describe your natural density?* This field is required.

Thin

Medium

Thick

Type option 4

13

What’s your natural hair texture?* This field is required.

Straight

Wavy

Curly

Coily

14

What is your goal for hair extensions?* This field is required.

Volume

Length

Both

Type option 4

15

What is your desired length with extensions?* This field is required.

Shoulder

Mid-back

Waist

To my butt

16

How tall are you?* This field is required.

Under 5’

5’1”-5’4”

5’5”-5’8”

5’9”+

17

Tell me about your daily hair routine. * This field is required.(e.g., time spent styling, products used)

18

How often are you willing to come in for maintenance?* This field is required.

4-6weeks

6-8weeks

8-10weeks

12+weeks

19

What is more important to you?* This field is required.

Low maintenance

Natural look & feel

Longevity of the extensions

Type option 4

20

What is your budget?* This field is required.You can also apply for finance options through Cherry! *Soft Credit Check * No Interest *Instant Decision https://pay.withcherry.com/jen-smith-hair/?utm_source=mobilepracticeportal

$800-$1200

$1200-$2000

$2000+

Type option 4

21

Are you aware that professional maintenance & products are essential for long lasting results?* This field is required.

YESNO

22

Please upload clear photos of your current hair. Front, both sides & back.* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

23

Upload photos of your dream hair. * This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

24

Tell me, where is the first place you’d go if you had your dream hair?* This field is required.What are you wearing? How is your hair styled? How do you feel?

25

Any thing else you’d like me to know?

26

Disclaimer:

Please note that the final cost of your extensions will depend on the method, length, and volume desired, as well as your specific needs discussed during the consultation. A non-refundable deposit is required to secure your appointment.

27

Signature* This field is required.

Clear

28

Date* This field is required.

Date