Name *

First Name

Last Name

Phone *

(###)

###

####

have you had hair extensions before?

yes

no

how long is your natural hair?

above shoulders

shoulder

mid-back

waist

what is the texture of your natural hair?

straight

wavy

curly

coily

what is the density is your natural hair?

fine

medium

thick

is your hair colored now?

yes, and I would like to discuss color with my extensions install

yes, but I see another stylist for color

no, but I would like to discuss color with my extensions install

no, I have my natural color and do not want to change it

Do you have any scalp conditions or hair loss concerns?

yes

no

Do you currently(or have had done previously) any chemical treatments?

perm

relaxer

keratin or smoothing treatments

What is your current home care routine?

minimal, natural

regular styling

high maintenance

what are your goals you would like to achieve with hair extensions?

fullness, natural look

length + fullness

transformation, short to long

enhance my color

bridal/special occasion

how frequently would you mind coming in for maintenance appointments?

any maintenance is worth it for my dream hair!

every 4-6 weeks

every 7-9 weeks

every 3-4 months

how do you usually wear your hair?

down, natural

up in loose ponytails

up in high, tight ponytails/slickbacks

heat style often

blow-dry often