RIHC K-TIP PRE CONSULTATION FORM

RAW INTENTIONS HAIR CO

WELCOME TO THE WORLD OF K-TIPS. PLEASE FILL OUT ALL QUESTIONS BELOW TO THE BEST OF YOUR ABILITY. ALLOW 24-48 HOURS FOR A RESPONSE.
RAW INTENTIONS PRE-CONSULTATION FORM

Congratulations, you're one step closer to the seamless, beautiful install your lifestyle deserves. The questions on this form are very important so please answer each question as honest and thorough as possible. Upon completion of this form we will create a customized k-tip extension experience tailored just for you. Let's make magic.
WHAT TO EXPECT AFTER SUBMITTING THIS FORM?

1. If you're a good fit for k-tip extentions, you'll receive a follow-up email within a few days to schedule your consultation.

2. Consultations are virtual or in person and require a $60 fee.
Name

First NameLast Name
DATE OF BIRTH

MonthDayYear
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
WHAT CITY AND STATE DO YOU LIVE?
HOW DID YOU HEAR ABOUT RAW INTENTIONS HAIR CO?
HOW OFTEN DO YOU WASH YOUR HAIR?

1-2 TIMES PER WEEK1-2 TIMES PER MONTHONCE EVERY 4-6 WEEKS
ARE YOU PREGNANT OR LESS THAN 6 MONTHS POST PARTUM?
ARE YOUR ACTIVELY EXPERIENCING HAIR THINNING OR HAIR LOSS?
ARE YOU TAKING ANY GLP1 MEDICATIONS?
DID YOU HAVE COVID-19 IN THE PAST 3 MONTHS?
HAVE YOU BEEN DIAGNOSED WITH AN AUTO-IMMUNE DISORDER?
ARE YOU TAKING ANY THYROID, CHOLESTEROL, OR HIGH BLOOD PRESSURE MEDICATION?
DOES YOUR HAIR TANGLE EASILY?
ARE YOU AWARE THAT THE COST OF CUSTOM K-TIP EXTENSIONS WILL RANGE BETWEEN $1,800-$3,500? *K-TIP EXTENSIONS CANNOT BE REUSED. NEW INSTALLS REQUIRE NEW EXTENSIONS.
HAVE YOU EVER WORN EXTENSIONS? IF SO, WHAT KIND?
PLEASE UPLOAD PHOTOS OF YOUR CURRENT HAIR IN NATURAL LIGHTING. *FRONT OF HEAD

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*BACK OF HEAD

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*LEFT SIDE OF HEAD

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*RIGHT SIDE OF HEAD

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PLEASE DESCRIBE YOUR GOAL WITH K-TIP EXTENSIONS.
PLEASE SHARE HAIR INSPO PHOTOS. INCLUDE COLOR IF YOU WISH TO HAVE YOUR EXTENSIONS COLORED.

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DO YOU CONSENT TO SOCIAL MEDIA RECORDING?

YES, OF COURSEYES, PLEASE DON'T INCLUDE MY FACE
WHAT IS YOUR NATURAL HAIR TEXTURE?
I UNDERSTAND THAT IF I PROCEED WITH MY CONSULTATION, I MUST ARRIVE WITH MY HAIR IN THE CURRENT STATE, LENGTH, AND COLOR I WISH TO MATCH WITH THE EXTENSIONS. ANY CHANGES IN YOUR HAIR LENGTH OR COLOR CAN RESULT IN CHANGE IN PRICE OR THE CANCELLATION OF YOUR APPOINTMENT.
I UNDERSTAND THAT MY QUOTE IS VALID FOR 14 DAYS AFTER THE COMPLETION OF MY CONSULTATION.
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RAW INTENTIONS HAIR CO

RAW INTENTIONS PRE-CONSULTATION FORM