Hair Extension Virtual Consultation Form

You like my hair, Gee thanks I just bought it!

First Name

Last Name

Best Form of Contact

Text

Instagram Dm

Phone call

Email

Phone *

Instagram

Email *

Is there an important date you are getting extensions installed for?

How Often do you wash your hair?

Hair Density

Hair Texture

Hair Length

What color is your current hair? Dimensional?

Styling Proficiency

Weekly Activity Level

Is there a length that you are looking to have?

Medical Issues that may cause hair loss?

Have you been pregnant in the last 4 months? This is normally when women see postpartum hair loss.

Special Requests

Submit photo of your current hair:

Submit photo of your dream hair:

Would you like any information on our buy now pay later?

Yes

No