Extension Client Pre-Consultation Form

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number* This field is required.
Please enter a valid phone number.
4
How would you like to be contacted?* This field is required.
text
email
5
Are you wearing extensions currently* This field is required.
Yes I am
Yes, but they will be out before my consultation with you
No, but I have worn them before
No, and I have never worn them
6
If you have previously worn extensions what method and how much?* This field is required.
weft extensions 1 row
weft extensions 3 or more row
weft extensions 2 rows
K-tip extensions
I-tip extensions
tape in extensions
clip-in extensions
Halo extensions
7
Extensions are a luxury investment. What is your budget so i can recommend the best customized solution for you?* This field is required.
under $1000
$1000-3000
between $3000-5000
whatever it takes for my dream hair
8
Extensions require frequent maintenance. how often are you comfortable coming in?* This field is required.
5-6 weeks
7-8 weeks
every 3 months
I'm looking for a temporary solution
whenever you recommend
9
Extensions are a very detailed service. how much time are you comfortable spending in the salon?* This field is required.
2 hrs or less
3-4 hrs
4-5 hrs
6-7 hrs
however much time you need
10
Your at home routine will change with extensions. How much time are you willing to dedicate to them?* This field is required.
I dont want to add any extra time
I can dedicate a little extra time ( 15min)
I can dedicate more time (30-45 min)
I can dedicate as much time as needed
11
To love your extensions you also need to love your hair color. what best represents how you feel about your current color?* This field is required.
I love it, I dont need anything changed
It's damaged but i like my current color
Its damaged but i want it lighter
I would like to go darker
It's okay but could use an update or refresh
I dont like it and want a big change
It's a mess and i need a color correction
12
Please upload 3 images of your current hair. one from the front(please include your face), side and back(enlisting a helper is recommended). These photos must be taken in indirect lighting (think in your house near a window without the rays hitting you) *please do not send old photos, filtered/edited or photos in direct sun or under florescent/bathroom lights.* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
13
How often do you wear your hair up in a pony, bun, braid, or upstyle?* This field is required.
daily
every other day
couple of times a week
once a week
just a couple times a month
14
How often do you wash your hair* This field is required.
everyday
every 2-3 days
4-7 days
8-10 days
11+ days
15
Does your scalp ever get irritated?* This field is required.
Yes it's itchy or burn-y all the time
yes it gets itchy or burn-y sometimes
No, never
Type option 4
16
have you ever suffered from dandruff, eczema, folliculitis', or psoriasis? If so, please list everything that applies. please also detail when the issues occurred or if they are current. * This field is required.
*if you haven't had any of these issues please type "NA"
17
Have you noticed any change in density to your hair or the amount of hair you are shedding? If so please when the changes started and if they are ongoing or have stopped.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
18
How did you hear about me?* This field is required.
Facebook
Instagram
Google
Facebook group
Referred by a client/ friend
Other
19
I'd love to know who referred you
20
Signature* This field is required.I confirm that all information in this form is true and accurate
Clear
Should be Empty: