Pre-Consultation Form

1

Name* This field is required.

First Name

Last Name

2

Phone Number* This field is required.

Please enter a valid phone number.

3

Email* This field is required.

example@example.com

4

How did you hear about me? * This field is required.

5

If referred, please list who sent you.

6

Which Service(s) are you interested in?* This field is required.

Color/ Blonding

New Hair Extensions

Extensions Maintenance

Haircut

Scalp Cleanse

7

What is your budget?* This field is required.

8

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

Thin

Medium

Thick

9

How would you describe your hair texture?* This field is required.

Straight

Wavy

Curly

Coily

10

Are you currently experiencing any of the following?

Hair loss or thinning

Scalp sensitivity or irritation

Breakage or Damage

None of the above

11

Upload the front and back of your hair currently. * This field is required.

12

Upload 1-3 pictures of your hair inspiration. * This field is required.

13

Have you wore hair extensions before?* This field is required.

YESNO

14

What type?

Hand Tied

K-Tips

Tapes

Clip-ind

15

How long have you worn them?

16

Do you currently have extensions installed?* This field is required.

YESNO

17

What type of extensions are you currently wearing. Hand tied, clip-ins, k-tips, tape…

18

Do you have a preferred extensions brand? If yes, what brand.

19

What days are you available* This field is required.

Tuesday

Wednesday

Thursday

Saturday

20

What time of day is best?* This field is required.

Morning

Afternoon

Evening

Anytime

21

If you have certain dates that you would prefer please list them below.