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Virtual Consultation /Client Consent Form
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
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Area Code
Phone Number
Session Date & Time
*
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1
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Hour
00
10
20
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40
50
Minutes
AM
PM
AM/PM Option
Type of Session
*
Partial Weave w hair out
Full Weave NO Hair out no lace closure
Closure Install
Economic Weaving Services $150 and up
Frontal Install no custamization
Traditional Frontal Install lasts 2-3 months
Celebrity Flawless Frontal Install
Wig Installation Basic
WigInstall Affordable
Traditional Wig Install
Celebrity Wig Install
Wig Styling
Weave Maintenance
Other - (Please Contact Chelsea)
Do you suffer from alopecia
*
yes
no
Other
How Much do you normally spend at the salon on Weaves/ Virgin Hair
$125-$200
$210-$300
$300- $400
$400-$800
$800 and up
Are you interested in our long term hair loss medical solutions with custom fitting and extreme detailed customizing Packages begin at 1700 and up.
Yes
No
Not at this time
What are your purposes for purchasing your unit
Long term wear
A quick hair fix for an event, birthday; vacation
Wig for medical Alopecia purposes
I understand that high fashion wigs are not as durable as medical hair replacement unit or our Raw hair units.
Yes.
No
What is you current income level?
Under $25,000
$25,000- $50,000
50,000- 75,000
75,000 -95,000
Retired
120,000 and up
Are you interested in natural hair styling non weaving/ hair loss services for your appointment today?
YES , select option 1 for all questions. Except non allergy questions
NO
Are You looking to Purchase Virgin Hair That Is?
Most affordable last 2-5 months: 7a Brazilian.
Medium grade: Brazilian Hair , lasts up to 7months holds decent curl.
Medium High Grade: Peruvian/ Indian Remy , Lasts 10 months has alot of body .
High Grade: Lasts 1-2 Years with great results.
Premium: Single Donor Hair All Cuticles in tact
Other
I understand that hair replacement services can become pricey . Im prepared financially for the monthly upkeep , take home product purchasing and maintenance that may be required?
Yes
No. Then it will be best to not to proceed with services if you desire optimal results. Or you might consider our removal non custom / custom wigs.
What is your current range that you feel comfortable investing per month on your hair services and upkeep.
$80-$150
$160 - $225
$300 - $500
$500 and up
Are you able to come back to the salon every 3-6 weeks for maintenance?
yes
No . THIS IS A REQUIREMENT For this install. DONNOT RECEIVE THIS SERVICE IF YOU CANT PURCHASE MAINTENANCE EVERY 2-6 WEEKS. If you don"t receive maintenance we wont be held liable for further issues concerning your hair services.
Hownlong do you want your lace to last before lifting? LIFTING can occur due to lifestyle and bodies ph.
1-2 weeks
2-4 week
5-7 weeks
Where do you normally purchase hair/wigs from?
Beauty Supply
Local Vendor
Online Asian Wholesale
Online Virgin Hair Store
N/A
Are you looking for a wig or weave style?
thats a quick fix; last 2-6 weeks
that has normal hold of 6-8 weeks
that has the longest hold 8-12 weeks
Are you interested in Hair Growth
Products for take home
holistic homemade salon treatments
Not interested
What is your ideal level of maintenance that you desire?
Wake and Shake.
Minimal : wrapping Hair occasionally.
Moderate: Pin Curling, Moisturizing every 2 days.
Alot : Daily Maintenance, Pin Curling, Detangling, Mositurizing when needed, Reapplyling gel to edges
Do you like to try alot of products and use them on your hair and wig pieces?
Yes
No.
Sometimes
Which Wig/ Weaving service best describes you?
Ultra =affordable believable durable low maintenance hair piece
Celebrity = very natural appearance, long lasting with some Maintenace hair piece
Elite= the most undetectable service, most custom and durable and High quality hair piece
Removable unit with little to no upkeep
Platinum. No knots option. Choice of Ventilation styles, scalp density. Perfect Mold Fit /or tailored fit. Top 2- 5% hair used. Long lasting.
What hair service do you most likely see you receiving?
Ultra Weave Install / Unit: Medium Sized cornrows no Scalp customizing to reduce cost . Basic style with framing. Between $596-$695. Uses Stock measurements s,m,l or medium fit.
Celebrity: Includes Medium sized cornrows, Scalp customizing one time knot Bleach with minimal correction services. 15 min Plucking and Moc Scalp included. Prices vary between $695- $860. Uses stock measurements s,m,l or medium fit.
Elite: Includes small Cornrows , highly detailed Scalp customizing multiple color and bleeding correction. Precise plucking 45 min and Scalp matching included. $1085-$2100
Removable units that are minimally customized and under $500 or less.
Affordable weaving option ,mosy cost effective
Platinum Top tier Fitting Customizing and Hair Provided . No scalp grid available. 2100 and up
How often do you visit the salon?
Every 1-2 weeks
Once A month
Every 2 months
4 times a year
Whats the amount of desired fullness that best suites you?
Natural Density
Moderately Full
Full
Very Full
On average how much have you paid in the last 5 months towards virgin hair or wigs?
$100-$200
$200-$350
$360-$450
$460- $750
$760 and up
$770-$ 2100
What is the longest amount of time you desire in the salon?
2hr, the least possible
3-4 hr , average
5h +
I understand that if i don't come in for a consultation then Mane Attractions will not be responsible for hair concerns that were not addressed ahead of time ?
Yes
No
What are your current hair goals and concerns?
What made you interested in our hair replacement salon?
photos
social media
google search
Other
Are you comfortable with getting serviced infront of other clients?
Yes
No
Yes, if my cut off from other clients
Yes , if my baldness isn't showed
Are you receiving micro loc/ loc unit?
Yes
No
Yes, please submit a picture of the desired locs that you want to mimic. Include a picture for density, length and scalp ratio. Consult with stylist for particulars.
Do you prefer
Most fast service, WE DON'T OFFER 1 on 1 Booking. Please Plan Accordingly. Do not book events same day as hair appointment). Please purchase our back up units for speedy service
Minimal Waiting. Its suggested to prep glue for removal, order two units or recieve our speedy service.
Whatever it takes for the best optimal results.
Other
Do you want adhesive or glue for your install
Yes. Glue can give you the most natural and versatile look. However women who exercise profusely may encounter lifting and glue oxidation. On some occasions glue can attach to your natural hairline which may cause minor thinning. #Be sure to use protective cap.
minimal amount needed
No. Non glue clients will have to purchase a hair harness use band etc. Client with gel / band installs may require at home maintenace .
I understand that the adhesives/ removers / some hair products may contain solvents, latex and other toxic chemicals may cause inflammation /moderate hair loss and reactions to the skin in some individuals.
YES
No
Other
I understand that our full lace wigs are high qualityand don't use silicon linning . This hair may require more maintenance detangling and proper shampooing/ product at home care. Please work closely with your stylists and except all their recommendations to avoid matting and acessive . Mane Attractions/ PVM will not be responsible for poor at home maintenance that destroys your unit
YES
No
Other
I understand that if I provide my own hair Mane Attractions cannot be responsible for color and styling damage/ irregularities.
YES
No
Other
I desire the most natural lace .
No
Yes add $85 for additional hd lace. Most undetectable. ALSO CONSIDER bringing foundation to blend he best with skin stone.
Yes but i want a more affordable option add $45 extra
Other
What's your style
Conservative
Natural / Earthy
Trendy
Ultra Sexy
Do you have any hair/ scalp issues that might interfere with your service
Sensitive/ tender Scalp
Bad Allergies / Sensitive Skin
Excessive sweating
Sevearly Matted /unkept Hair (additional fees will be added to service )
No
What was your biggest complaint with your last stylist?
To expensive
Poor quality
Hair keeps lifting
Long wait
I understand that if I receive extra plucking that my frontal hairline may be thinner but will look the most natural
yes i understand
no i dont
Will you need to book a baby sitter for your appointment?
Yes
No
Other
Are you looking for a full time stylist to see regularly?
Yes
No
Other
How many stylist have you visited in the last 3 years?
0-2
3-4
5-7
Other
I understand that deep curly hair requires maintenance and tight textures may experience tangling and some shedding. Textures may vary. This is not the best option for beginner clients with hair extensions.Improper maintenance can destroy your unit.
yes
no
Other
If have let Mane Attractions know about all my allergies. We use nut/tree nut and some latex /sulfur containing products. Therefore you may experience cross contamination or direct contact with possible allergens. We will not be responsible for redos ,refunds or medical fees. We dont service clients with allergy.
I agree
I dont have allergies
Do yoy have alopecia or thinning hair?
Yes
No
Im not sure
I understand that adhesive installs require longer wait time. Please purchase 2 Custom Units, and Book Custom Unit Speedy Service to Reduce the dryer tine, extra cleaning and prolonged wait time needed when waiting to apply adhesive . Also come back to salon within 2-4 weeks . The Glue / gel hardens the longer you wait between visits.
yes
no
I understand that installs should be shampooed 1-2x a month and that there is no maintenance service after 3 months. The hair can begin matting/ break off and form scalp mites after this period,
yes
no
Will a child under the age of 16 be attending with you or guest ?
Yes, if so no more than 1 child. Child must be able to sit by themselves . All guests must clean up any mess made. If not a $10 fee will be added to service. All guests must keep a moderate volume and not be a disruption.
No
I understand that when i purchase Weave Drs pre loved or floor models that All Sales Are Final and AS IS. Also once hair is installed or evaluated by clients All sales are final. NO texture swaps allowed once installed. Be sure to receive pics of the texture that you will be receiving.
yes
no
I understand blondes & colors lighter than 30 may not be acheiveable and will require a higher grade of hair or color corretion which will be an additional service.
yes
no
Do you have a picture of the current hair style that you desire? Please provide pics for best result
Yes
No
I am informed that when customizing some knots may not get bleached and in some spots become overly bleached when colored. For super bleached knots add on $7 dollars to order. Or order Elite service. Only one 15-30 min Bleach job is included with mascara touch up for celebrity install. *Thicker knots and close grid lace may not Bleach evenly /completely, also Each vendors processing time may vary.
Yes
No
I understand if i engage in rough activity, excessive sweating, swimming and poor hair maintenance that my hair can be affected.
Yes
No
I desire a low or have a low hairline.
Yes
No
I have been informed that excessive shedding matting can happen from improper usage, excessive sweating, poor maintenace at home ,poor product choice, and not scheduling regularly.
Yes
No
Im am interested in receiving the Elite custom fitting services and custom lace designing services. This gives client complete control over their unit and fits closely to the Scalp. Units and pieces are ventilated strand by strand to the customers liking. Services begin @ 175 and up. For exact head mold look into our Cranial Prosthesis
Yes
No
Maybe
I understand glueless install requires at home maintenance.
yes
no
I understand if I sweat profusely within 2-3 days of my appointment that the Weave Dr. will not be responsible for redos.
yes
no
I understand that custom Units and Scalp customizing require more time for the stylist. Please book ahead of time for best results and faster service .No redos on bleach knot service. ***Must upgrade to elite.
Yes
No
I understand that custom Units /lace wigs can only mimic my Scalp and not give exact results. Grids some knots may be visible. More plucking = more scalp visible. Bring your own foundation for closest lace match and choose elite service
Yes
No
I am interested in a custom fitted unit that can be worn glueless, has less lumps and bumps and is great for Alopecia and Healthy hair practices.
Yes
No
I understand that a weave and Virgin hair is an investment and All Sales Hair Pieces and services are final. NO Refunds Please inspect quality before installing. Due to increase of scammimg : All Wig And Hair Scammers will be reported and pursued legally to the highest level of Md Law. Please Don't purchase if you are not financially ready or if your uncertain.
yes
no
I understand that Mane Attractions doesn't not allow pre colored hair for wig/ extensions. Please consult with stylist prior to booking.
yes
no
I understand that Mane Attractions preferred form of payment if through zelle, cash app and venmo. All card users will have to complete a credit card authorizatiom form. All credit cards will be stored on file for charge backs, disputes and debts agreed upon for services and hair units/ extensions. These cards will only be used for these purposes. I agree to these terms and conditions.
yes
no
I understand that if I change my mind because of buyers remorse , description changes or delays that i will still be required to pay the balance on my wig and that all unpaid balances after 5 months will result in loosing your complete deposit. Any late cancelations (Less then 48 hrs notice) for wig / weave install dates will result in a $175 late cancelation fee or refusal of future services. Late cancellations will not be accepted at this salon.
yes
no
I UNDERSTAND that all lace front wigs and prosthetic units will only mimic but not look exactly like my scalp
I UNDERSTAND The Benefits Thats Our Hair Loss Services Provide For Custom Wigs. Custom wigs are the best service to receive if you have Hair Thinning/ Alopecia. What We Offer. •Long lasting Units. •Thicker / fuller Wigs then non custom drop shipped wigs. •Better hair quality then drop shipped non custom wigs. •Handmade by skilled craftsmen. •Save more money in the long run • Custom wigs built to your head measurements •Locally made. •Satisfaction guaranteed. •Great for hair loss and inexperienced wig wearers. • Natural Chemical Free Hair Available. •Customer Support. •Payment Plans. •Free Customizing on Online Purchases
Do You Want To Join Our Email/ Text List for New Product Alerts and Discounts?
Yes
No
Please Read Carefully The Following Information May Affect Your Services!!! PLEASE Take Screenshots or Pics For Your Reference. POLICIES: .1. Clients with frequent Late Cancellations will be required to pay 50% to Full Deposit to set an future appointment . 2.All Sales are Final on Hair Extensions/ Services Once Installed NO RETURNS. Return damages hair in 3 days if defective. PVM will only exchange if hair is defective this must be determined within our 3 day policy. All Clients who are not satisfied MUST return within 3 business days to report damaged goods or poorly installed services. All disputes / resolutions must be settled within 2 week time period after purchase. 3. All closures and lace wigs will naturally shead especially curly wefts . Loc hair pieces may fall with excessive product and manipulation 4. Clients who purchase Maintenance services and who use stylists approved products/ styling tools will get full life span on Virgin Hair( all glueless installs require at home maintenance to some degree. 5. We dont allow clients to bring visitors who record and watch stylist perform services. 6. Please notify us when male guests / children will be arriving . Many of PVM clients suffer from alopecia. 7. Clients that Verbally demean stylist openly, are overly aggressive and cause gross disruption will be asked to leave or refunded deposit or we will discontinue servicing you immediately .8. No redos/ touch ups on installs that have been altered by clients( washing hair, relaxing edges excessive pulling etc). 9. Clients who have excessive matted hair from take down will be charged an additional $75 or asked to reschedule if braid take down exceeds 45 min. 10. This is a hair weaving salon where waiting is expected ; please don't book other services or events same day as appointment. We will notify you if we are running 15-30 min behind so you can get serviced quickly. THERE IS NO such think as 1 on 1 service unless requested for Alopecia Clients or Paid for when booking 1on 1 Service (extra fees may apply. ) During Summer -Spring/Winter Holiday/ and Govt Holidays we are busy Expect minor to longer wait . Full payment will be due upon completion of services , any credit card fraud or payment refusal will be subject to arbitration and subject to the laws in the of Maryland. Mane Atrractions/PVM cannot be responsible for buyers remorse or exact product matching. I have been informed on the Policies at Mane Attractions/ PVMB signing (draw your signature) below I certify that I am at least 18 years of age. I have read this agreement/waiver/contract and fully understand the contents thereof. Due to COVID 19 no exchanges or refunds**ALL SALES FINAL ***Delays may happen with some orders during shipping. No change in appointment type at last minute. 1st cancellation = 60% deposit. 20. All GLUELESS INSTALL REQUIRE MAINTENANCE (at home and in the salon) ***NO EXCEPTIONS. 21. Once you start a wig order and we have created or ordered unit the retail price will be due in full, we cannot retrack after the creation and ordering process. We will only execute the agreed upon services no changes from original order.
*
I agree to the Terms / Conditions and Policies at Mane Attractions/ PVM
PLEASE Read Carefully!! The Following Information May Affect Your Services, Take Screenshots On Your Phone for Your Records. I agree that Mane Attractions Hair/Weaving cannot be responsible for: 1. Poor Hair Choice Provided by Clients that effects the outcome of service, 2. For Allergic Reactions and Hair Loss/ trauma outside of the stylist control( high blood pressure medication, improper maintenance , vitamin deficiencies, male pattern baldness ,illness etc.) Please ask for a patch test or receive product recommendations from a dermatologists / trichologists, 3. All hair coloring services can take 2-5 coloring jobs for desired color due to hair quality/ donor. 4. Due to our large clientele same day Redos or fixes will not be allowed please plan accordingly. No More than 2 hair cut changes per appointment. 5. All chemical hair services , regular hair manipulation can weaken hair. Please use our maintenance and treatments / removal process for best results. 6. Please drop off units and order hair in advance that needs to customized prior to appointment for the best and most timely results. 7. All virgin hair and processed hair has its own identity . Mane Attractions/PVM cant be held responsible if your hairs aren't perfectly compatible or if you try to mix other suppliers hair with ours. We can also not be responsible if your hair / scalp doesn't blend properly with your hair extensions Blending varies on skin type and complexion. We can only try our best. (Relax your hair or be prepared to do extra Maintenance from home. 8. Schedule in advance and in non peak hours for minimal wait time. 8. Any children that are under aged at the salon must be attended by parent at all times and must not touch wigs or shop decorations(We wont be liable if your child is injured ). 9 Full Payment must be received at at the end of services. 10. Clients who are late past 30min may be asked to reschedule. 11. Order hair in advance for customer orders. CUSTOM Prosthetic and Loc Units Orders can take up to 16 weeks to create. 12. We are beauticians and hair is an art we aim to get color/hair cuts / weave installs as close as possible but we cant promise identical exact duplication . Also performing high light and over processing the color of your extensions can dry out your virgin hair and in some cases cause breakage to virgin hair. 13.All SALES And Deposits FINAL do to the nature of our services and hair pieces offered we will not be able to return pieces due to hygienic reasons/ allergies etc. Buyers remorse is not a valid request for a Refund ; if you pay with a credit /debit card you agree to authorize the payment and have been informed on our ALL SALES FINAL CLAUSE.14 . F rontal replacement may be required on Custom Units. Women who sweat and have poor maintenance practices may need to replace the frontal/ closures more often. (+65 dollar re attachment fee) Additional fees may apply.15. All Custom Units must be picked up or paid in full no later than 3 business days from original final due date. If not unit may be subject to reselling and larger deposit in future. 16. We cant guarantee how much your insurance company will reimburse you or cover unit, please consider when making a deposit/ scheduling. Client shall hold harmless Mane Attractions/ PVM harmless from any and all claims arising from transactions: Such as hair/scalp conditions and disorders; Allergic reactions caused by products and virgin hair; hair cuts , Buyers remorse and unexpected but reasonable changes from product/ hair manufactures . 17. If you make a suggestion that interferes with the structural formation of our braiding/ adhesive/ weaving / hair cutting/ coring methods we can not be responsible for less than desired results. 18. Mane Attractions will sanitize frequently touched surfaces at the salon/ will practice social distancing and will not be responsible for COVID -19 contraction. Please wear a mask at all times. Please be mindful of removing your mask when eating drinking or adjustment while sitting underneath the dryer or during glue application. 19. If you have a dispute complaint please give us 24-48 hrs to reply we don't settle disputes on our off days. 20. Please book online for quickest booking . 21. Mane Attractions will only carryout agreed upon services we cannot change after we have instituted the agreed services. 22. Mane Attractions/ PVM reserves the right to end services for clients who are openly demeaning/ arguing and creating a scene. We will ask for the wig balance and a cancelation fee of $125 . We will not be responsible for defaulting on any events and celebrations.
*
I DO NOT Agree
I Agree to the Terms and Conditions of Mane Attractions
By signing (draw your signature) below I certify that I am at least 18 years of age. I have read this agreement/waiver/contract and fully understand the contents thereof.
*
How did you find us?
Submit
Mane Attractions Hair Weaving
12138 Central Ave. #221 Bowie, Md 20721, 703.973.7146 www.maneattractionshair.com
Note To Stylist
concerns_____________________
Note to stylist
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