You can always press Enter⏎ to continue
EXTENSION INTEREST FORM
Please fill out the questions honestly and to the best of your ability!
START
1
Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
E-mail
*
This field is required.
Previous
Next
Submit
Press
Enter
3
Phone Number
*
This field is required.
Area Code
Phone Number
Previous
Next
Submit
Press
Enter
4
Have you had extensions or are you currently wearing extensions?
*
This field is required.
Yes, I have worn them in the past.
Yes, I currently have them.
No, I have never worn extensions.
I wear clip-ins
Previous
Next
Submit
Press
Enter
5
What kind of extensions/how many rows are you currently wearing and for how long?
Previous
Next
Submit
Press
Enter
6
How long have you had this current set of wefts/hair?
1-2 months (new hair)
2-4 months
4-6 months
6-8 months
8+ months
Previous
Next
Submit
Press
Enter
7
Are you willing to purchase new hair if I feel like this set of wefts is compromised or will compromise the integrity of your natural hair.
I will never pressure you to buy new hair, but I will not install compromised hair that could cause damage to your natural hair.
Yes
No
I would like to discuss about pricing
Previous
Next
Submit
Press
Enter
8
What are your reasons for wanting extensions?
*
This field is required.
Check all that apply
Adding slight length
Adding significant length
Adding slight volume/fullness
Adding significant volume/fullness
Regrettable haircut :-(
Previous
Next
Submit
Press
Enter
9
Are you experiencing any of the following?
*
This field is required.
Check all that apply
Thinning/Balding
Hair is breaking off at the ends
Hair is breaking off at the scalp
Hair doesn't seem to grow
Hair is damaged due to heat and/or chemicals
Excessive shedding
Other
Previous
Next
Submit
Press
Enter
10
Will you need your color done as well?
*
This field is required.
Yes, I want to change my current color
Yes, I want to refresh my color
No, I do not need my color done right now.
I am open to either
Previous
Next
Submit
Press
Enter
11
How would you describe your hair?
*
This field is required.
Please select all that apply
Thick
Thin
"Normal" - Not too thick, not too thin
Fine
Coarse
Unruly
Straight
Curly
Wavy
Damaged
Short - Above shoulders
Mid-Length - Around collar bone
Long - Shoulder blades
Previous
Next
Submit
Press
Enter
12
Describe your normal hair care regimen and styling routine.
*
This field is required.
Previous
Next
Submit
Press
Enter
13
What products are you currently using on your hair?
*
This field is required.
Previous
Next
Submit
Press
Enter
14
What hesitations or questions do you have about extensions?
*
This field is required.
Previous
Next
Submit
Press
Enter
15
What appointment times work best for you? Please select all that apply.
Average install time 3-4 hrs with a Signature Color Session, 4-5 hrs with Ultimate Color Session.
Tuesday
Wednesday
Thursday
Friday
8:00am
10:30am
12:00pm
Previous
Next
Submit
Press
Enter
16
What is your ideal timeframe to get in for your install?
As soon as possible
2-3 weeks
1 month
I'm flexible, but really want them!
Other
Previous
Next
Submit
Press
Enter
17
Upload a picture of the FRONT of your hair - facing the camera - outside in indirect light is ideal. No hats, ponytails, etc.
*
This field is required.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Cancel
of
Previous
Next
Submit
Press
Enter
18
Upload a picture of the BACK of your hair - facing the camera - outside in indirect light is ideal. No hats, ponytails, etc.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Cancel
of
Previous
Next
Submit
Press
Enter
19
Upload 2-5 goal/inspiration photos for desired length, fullness, color.
*
This field is required.
The more pictures you upload, the more accurate quote I can give you.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Cancel
of
Previous
Next
Submit
Press
Enter
20
I understand that by submitting this form, it does not guarantee an appointment. I understand that by submitting this form I will receive general information based on the answers I provide, but for detailed cost and process breakdowns I may need to schedule a virtual or in person consultation. I understand that it may take up to 6 weeks for an appointment spot. I understand that initial cost can vary greatly depending on current hair and goal hair, but understand that this is a luxury service that is a financial and time investment. I understand that maintenance appointments must be kept every 6-8 weeks. For New Hair Installs, I understand that a non-refundable deposit of 50% of the determined initial service cost must be paid before an appointment can be scheduled.
*
This field is required.
Clear
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
20
See All
Go Back
Submit