We are so excited to learn more about YOU and your unique hair goals! This pre-consultation form is designed to help me understand your current hair, lifestyle, and what you’re hoping to achieve with your dream transformation here at Sol Collective Salon.By answering a few quick questions, we will be able to get a better sense of your hair’s starting point and recommend the best extension method to help you reach your desired look. (All information is confidential and helps us determine the best solution for you.)
What is your first name?
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What is your Phone Number
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Email
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What Experience are you interested in?
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Custom Crown Toppers (thinning hair or loss of hair on part line)
Luxury extensions for length (tape, sew-ins, k-tips)
Crown topper paired with extensions
Full wig fitting/ customization
Im not sure what solution is best for me
What stylist would you prefer to work with?
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Taeler Carroll @beautybytaeler
Kelly Siwa @The_traveling_kelly
Anyone Available
Which (if any) issues are you facing with your hair today?
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Thinning hair on top
Thinning hair all over
Breakage or chemical damage
Fine hair all over
Uneven density or cut
Alopecia
Slow growing hair
Full hair loss
Other
Are you currently wearing any type of extensions?
Yes I am
No I am not
When did you first notice hair loss or thinning (if applicable)?
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Less than 6 months ago
6–12 months ago
1–3 years ago
3+ years ago
Other
Do you know or suspect a trigger?
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Stress
Hormonal changes
Medical condition
Postpartum
Genetics
Unsure
Other
What’s the FIRST thing you notice or dislike about your hair?
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How often can you realistically come in for maintenance?
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Every 3–4 weeks
Every 6–8 weeks
Only occasionally
How comfortable are you with daily styling and upkeep?
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Low maintenance only
Moderate upkeep
I enjoy styling
Are you prepared to invest in both the initial service AND ongoing maintenance if recommended?
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Yes
Possibly / need more info
No
What matters MOST to you? (Select up to 2)
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Natural appearance
Comfort
Longevity
Budget
Styling flexibility
Do you have any concerns about hair pieces?
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Insurance & HSA/FSA Reimbursement (Wigs & Hair Systems)
Some hair replacement services—such as medical wigs, toppers, or hair systems—may be eligible for HSA/FSA reimbursement or insurance submission, depending on your plan and medical necessity.We’re happy to provide itemized receipts and supporting documentation when applicable. Please note that coverage and approval are determined solely by your insurance provider or HSA/FSA administrator, and reimbursement is not guaranteed.
Please select any that apply
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I would like to attempt HSA/FSA reimbursement
I would like to submit to insurance (medical wig)
I am unsure and would like more information
I do not plan to submit for reimbursement
Additional information (if applicable): Have you been diagnosed with medical hair loss?
Yes
No
If yes, diagnosis (optional)
Are you currently under the care of a medical provider (dermatologist, PCP, oncologist, etc.)?
Yes
No
Do you already have a Letter of Medical Necessity?
Yes
No
Not Sure
Sol Collective does not communicate directly with insurance companies or guarantee reimbursement. Clients are responsible for submitting claims and verifying coverage with their provider. Reimbursement eligibility varies by plan. We recommend contacting your insurance or HSA/FSA provider prior to your appointment for confirmation. I understand that Sol Collective does not guarantee insurance or HSA/FSA reimbursement and that approval is determined by my provider or plan administrator.
I agree
I disagree
Payment Plans Available Upon Request!
Are you ready to book your free consultation call/appointment!?
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Yes, I would like to book a video call!
Yes, I would like to book an in-person consultation!
No. Im not ready to make this decision.
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