Link Hair Extension Consultation Form

Link Hair Extension Consultation Form

Thank you for your interest in Link Hair Extensions. Please fill out this required online consultation to provide me with a base knowledge about yourself and what you are looking to achieve with your extension service including timeline needed. Please be prepared to attach photos of your hair for us to assess. We look forward to helping you achieve your ultimate #hairgoal Please Note: Client bookings are not finalised until your appointment and hair suitability is confirmed by the team, and the required deposit paid to confirm your booking.
Customer Information
Name*

First NameLast Name
Age
Date of Birth*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Service Type - Appointment Location*

VIP Mobile ServicesIn Salon (Baker Street, London )
Which of the following services you would like?

Full Service - Supply & FitFitting OnlyMaintenanceAssistance for Product Selection
Requested Appointment Date
Hair Condition
What is the approximate length of your hair?*
What is your preferred method of hair extensions?*
(Not Sure! In that case enter that. You can get advice from an expert technician on what would be best for your hair type)
What is your preferred hair extensions length?
What is the color of your hair?*
What is the current condition of your scalp?*

NormalDryOilyScarsOther
Are you willing to commit to the aftercare process?

YesNo
Do you presently have any breakage, thinning or bald spots?

NoYesNot Sure

Pre-procedure questions*

	Yes	No	Remarks
Have you had hair extension before?
Do you have a medical condition wherein hair loss is present like alopecia?
Are you currently in treatment for hair loss?
Are you currently taking medication for hair loss?
Do you have any skin-related disease?
Do you have any allergies
Are you sensitive to metals?
Do you regularly swim?
Have you been pregnant for the last 6 months?
Do you usually go to gym for a workout?
Are you wearing an eyeglass?

Please upload an image of your current hair
Please upload an image of the hair that you want or your inspiration

Cancelof
Acknowledgment
- I confirm that all information I entered in this form is accurate and true.
- I understand that I need follow pre-procedure and post-procedure care.
- I understand that for cancellations or rescheduling, I need to call the salon or clinic directly and talk to the staff to get voice confirmation.
- I confirm that the salon does not provide a refund for deposit payments.
- I released the salon for any liabilities or hold harmless for any damages, injury, or accidents that can happen during or after the procedure.
- I understand that removal must be performed by a hair salon technician or extensionist.
By signing below, you agreed that you have read and understood the terms and agreement above.
Signature*

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Date Signed*

MonthDayYear
Date
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Link Hair Extension Consultation Form

Customer Information

Hair Condition

Acknowledgment