HAILEYS CLIENT INTAKE FORM
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Are you interested in Hair Color or Extensions?
Color
Extensions
BOTH
What type of extensions are you interested in
N/A
Tape Wefts
Sewn In Wefts
Not Sure/Open
Do you currently have extensions?
Nope
Yes Tape
Yes Sewn In
Yes K-Tips
Other
What type of color do you need
Highlights/Balyage
Root touch up
All Over Single color
N/A
What Time/Day works best for you?
I’m Flexible
Weekday Morning 9/10am
Weekday Evening 4/5pm
Weekday Afternoon 1/2pm
Weekend
Describe what your overall hair journey has been like
What are your hair goals?
Please submit a photo of your current hair
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Choose a file
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of
Drop of photo of your dream hair inspo
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Are you willing to be on camera for social media?
Yes
No
Preferred Contact method
Text
Call
Email
Instagram DM
Any
Are you located in Kansas City or California
Hair extensions typically start at $1,200 and can go up to $2,500 depending on the look you're going for. Does that fit within your budget?
Add any other information or questions you have
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