Pre-Consultation Hair Extension Inquiry Form
Please fill out this form to inquire about our hair extension services.
Full Name
First Name
Last Name
Are you over the age of 18
Please Select
Yes
No
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
How did you hear about us?
Please Select
Yelp
Instagram
Facebook
Referral
Drive By
Do you have any metal allergies (nickel, copper, etc.)?
Please Select
Yes
No
Do you have any known allergies or sensitivities (skin, scalp, cosmetic, or medical)?
Please Select
Yes
No
If yes, explain
Have you ever had any type of extensions before?
Please Select
Yes
No
If yes, explain which methods you've had before and your opinion with them
What makes you want to get extensions?
Are you currently wearing extensions?
Please Select
Yes
No
Preferred Hair Extension Type
Please Select
Sew-in Extensions
Desired Length
Please Select
16 inches
18 inches
20 inches
22 inches
Do you like the color you already have?
Please Select
Yes
No
Are you looking to change your current color?
Please Select
Yes
No
Have you experienced any hair loss in the last year?
Please Select
Yes
No
What type of hair texture do you have?
Please Select
Straight
Wavy
Curly
Coily
How long is your hair?
Please Select
Shoulder length
Above my shoulder
Middle of my back
Very Long
How would you describe your hair density?
Please Select
Fine
Medium
Thick
How often do you wash your hair?
Please Select
Every day
Every other day
1-2x times per week
What is your main goal with weft extensions? (Check all that apply)
Length
Volume
Fullness in specific areas
Color enhancement (no bleach)
Are you open to a stylist-recommended plan if your inspiration is not achievable in one session?
Please Select
Yes
No
Are you aware that weft extensions are a luxury service requiring both an initial investment and ongoing maintenance?
Please Select
Yes
No
Initial investment for weft extensions can range from $1000–$3000 depending on hair needed. Is this within your budget?
Please Select
Yes
No
Maintenance appointments are typically required every 6–8 weeks and range from $150–$1000 per visit. Are you comfortable with this upkeep?
Please Select
Yes
No
Hair is reusable but may need replacing every 6–12 months depending on care. Are you prepared for future hair replacement costs?
Please Select
Yes
No
Based on all the information given are you ready to move forward with the investment of extensions?
Please Select
Yes
No
Please upload 3 current pictures of your hair from the front, side and back below
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