Client Intake Form for K-Tip Hair Extension Services

Hi, welcome — and thank you for being here!

I’m Leesa, a hairstylist specializing in luxury, low-maintenance hair color and K-Tip hair extensions in Chesapeake, Virginia. My goal is to create seamless, customized hair that enhances your confidence while fitting effortlessly into your lifestyle.

K-Tip extensions are one of my favorite services because they are lightweight, discreet, highly customizable, and designed for long-lasting wear. Every extension experience is tailored specifically to your hair goals, density, lifestyle, and maintenance preferences to ensure the most natural result possible.

Please complete the consultation form below so I can learn more about your hair history, goals, and expectations. Once submitted, I’ll personally review your inquiry and reach out within 24–48 hours regarding next steps.

I can’t wait to connect with you!

Extension consultations are $150 and will be applied toward extension install.

Full Name

First NameLast Name

Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Have you had extensions before? If yes, which type?

Are you currently postpartum or are you on any thyroid medication?

Describe your hair type:

Texture

Are you currently experiencing excessive hair loss?

Density

I will need my color done as well

Hair color history

File Upload

Please add current hair photo

File Upload

Please add inspiration photo

What are your goals with K-Tip extensions?

K-Tip extensions are a luxury, low maintenance service with initial investments typically ranging from $1200-$3000+, along with maintenance every 3-4 months. Are you comfortable with this commitment?

How would you like to schedule your consultation?

Please share any additional information or concerns regarding your K-Tip extension appointment.

Thank you for submitting your consultation request! I’ll review your form and reach out within 24-48 hours to discuss your hair goals and create a customized plan for you.