Name *

First Name

Last Name

Phone *

(###)

###

####

Preferred Method of Contact *

Text Message

E-Mail

Phone Call

Preferred Time of Day for Contact *

Morning (10am - 12pm)

Afternoon (12pm-4pm)

Evening (4pm-7pm)

Flexible (10am-7pm)

Length of Natural Hair *

Short (3" to Above Shoulder)

Mid-Length (Shoulder to Underarm)

Long (Underam or Longer)

Density of Natural Hair *

Fine

Average

Thick

Have you had hair extensions before?

Yes

No

If so, what method(s)?

(Check all that applies)

Clip-In Extensions

Tape-In Extensions

Fusion (K-Tips)

Microlink (I-Tips)

Beaded Sew-In Wefts

Other

Why do you want extensions? *

(Check all that applies)

Length

Volume

Add Colour

Cover Medical Hair Loss

Other