Extensions Intake Form

INTAKE FORM

First Name

Last Name

Phone

Email Address

Have you had any previous experience with hair extensions? If so, what method did you try and how satisfied were you with the results?

Do you have any specific concerns or sensitivities related to your scalp or hair?

How active is your lifestyle? Do you frequently engage In activities that may affect your hair extensions, such as swimming or intense workouts?

What is your budget for hair extensions?

Are you willing to commit to a specific hair care routine to maintain your extensions?

Are you looking for an appoinment in LA or SF

Is there anything else you'd like us to know about your hair?

How did you hear about us?

How soon would you like to come in for a consultation?

Current hair and Inspiration photos

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