HAIR EXTENSION CLIENT REQUEST FORM

1

What’s your name?* This field is required.

First Name

Last Name

2

What’s your number ?* This field is required.

Please enter a valid phone number.

3

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

My hair is thick

My hair fine / thin

My hair is in between the two

4

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

My hair is short (shoulders or above)

My hair is medium length (shoulders to mid back)

My hair is long (lower back)

5

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

My hair is straight

My hair is wavy

My hair is curly

My hair is coily

6

What is your current hair color?* This field is required.Select the choice that best fits what you have

Platinum blonde / white

Blonde

Dimensional blonde / bronde

Dimensional brunette

Brunette

Red / Auburn / Copper

Black

Other

7

Give a brief description of your hair history from the past few years. This includes chemical treatments, color services (in salon and at home), or any other processes you’ve done:* This field is required.If you are a CURRENT CLIENT OF MINE, please type NA (because I already know your hair history)

8

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

YESNO

9

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

YESNO

10

If YES to the previous question, what method(s) have you had installed ?* This field is required.If NO, please type NA

11

If you have previously had extensions, were you happy with them ? Why or why not ?* This field is required.If this question doesn’t apply to you, please type NA

12

What method of hair extensions are you interested in ?* This field is required.Note: At this time I will ONLY be offering these two methods. If you’re selected, we will discuss options during the consultation along with the best method for your hair.

Wefts

K-tips

I’m not sure

13

What are you wanting to achieve with the hair extensions ?* This field is required.

Longer length

Fuller / thicker hair

Both

14

Do you have a sensitive scalp, any scalp conditions, or any allergies to silicone or metals ?* This field is required.If YES, please list them below. If NO, please type NA

15

Do you have alopecia ?* This field is required.

YESNO

16

How often do you use heat on your hair ?* This field is required.

Only a couple times a month

Only when I blow dry

Once a week

2-4 times a week

Almost every day

17

Are you aware that extensions are an investment with pricing STARTING AT $200-300.* This field is required.*If this is not something you have the budget for right now, I completely understand and you may now exit the form. I would be happy to help you when you’re ready to proceed.*

YES I understand the starting price above and know that price will increase from there based on amount of hair, method, etc.

18

Are you aware that after the initial installation, maintenance appts are required every 6-12 weeks, and pre booking appts is recommended?* This field is required.(Maintenance times vary depending on hair extension method)

YESNO

19

Are you willing to follow an extensions after-care routine to ensure your extensions and hair don’t become damaged ?* This field is required.

YESNO

20

Do you understand that this is a new service I’m offering, and although I have experience performing the service, the installation time may be longer than usual ?* This field is required.

YESNO

21

Do you understand that with being a model, the first initial appointment will be discounted ? However, every maintenance / installation after that first one WILL NOT be discounted. * This field is required.If you’re selected for this fun opportunity, I will reach out to you about consultation, pricing, etc.

YESNO

22

I will be taking pictures & videos before, during, and after the install and they will be used on my social media. Is this okay with you?* This field is required.

YESNO

23

Do you understand that I will be color matching the extensions to your current hair color? If you are wanting any change with your current hair color before / at the time of install, it will be charged as usual in addition to extensions. * This field is required.

YESNO

24

I am looking to schedule the models (you) during the month of April. Are there any days / times through that month that would work best for you ?* This field is required.NOTE: I do NOT work Sundays and Mondays. We will do a consultation first to color match, discuss extensions, pricing, etc first. From there, an install appointment will be scheduled.

25

A free consultation, which is approximately 15-30mins, must take place before booking any installation appointments. Are there any days / times that work best for you to come in for that? * This field is required.NOTE: I do NOT work Sundays and Mondays. We will do the consultation first to color match, discuss extensions, pricing, etc first. From there, an install appointment will be scheduled.

26

Is there anything you’d like me to know about you, your hair, etc ?* This field is required.