|
Hair Extension Online Consultation Form
|
|
If you would like to book an appointment for the application of Hair Extensions please fill out the following form. We will assess your suitability for Hair Extensions and get back to you within 24-48hours. If you wish to go ahead with the Hair Extension service we will require a non refundable deposit of £60 - £250 depending on the hair extensions method you choose and it needs to be paid when we visit you for your exact colour match to secure a booking. If the fitting appointment needs to be rescheduled by client this can only be done once.
|
|
|
*Name
|
|
|
|
|
*Full Postal Address
|
|
|
|
|
Home Telephone Number
|
|
|
|
|
Mobile Telephone Number
|
|
|
|
|
*Email Address
|
|
|
|
|
*Have you had Hair Extensions before?
|
|
Yes No
|
|
|
If yes, which type of extensions have you had?
|
|
|
|
|
Did they meet your expectations? if not, why?
|
|
|
|
|
*Have you ever experienced and hair loss or damage to your natural hair?
|
|
Yes No
|
|
|
*Have you now or in the past suffered from Alopecia?
|
|
Yes No
|
|
|
*Have you ever undergone any chemotherapy treatment?
|
|
Yes No
|
|
|
*Are you on any medication that lists hair loss as a side effect?
|
|
Yes No
|
|
|
*Are you pregnant?
|
|
Yes No
|
|
|
*Have you been pregnant in the past year?
|
|
Yes No
|
|
|
*Have you got a sensitive scalp or skin?
|
|
Yes No
|
|
|
*Are you allergic or sensitive to any hair related product?
|
|
Yes No
|
|
|
*Is your natural hair currently:
|
|
Permed Tinted Bleached
|
|
|
*Please tick all options that describe the condition of your natural hair:
|
|
Dry Damaged Weak Greasy Healthy Strong Coloured
|
|
|
*Please describe the texture of your natural hair
|
|
Straight Wavy Curly
|
|
|
*Please describe the thickness of your natural hair
|
|
Thin Medium Thick Extremelly Thick
|
|
|
*Is your hair longer than 3-4 inches in length?
|
|
Yes No
|
|
|
*Please describe the colour of your hair at present:
|
|
|
|
|
Which method of Extensions do you require?
|
|
Hot Fusion pre bonded Micro-ring Sewn in weave Micro Ring Weft extensions Net Hair weave Hair Braiding Cinderella hair extensions Hair-loc Hair Extensions Cold Fusion pre bonded magic cotton hair Extensions verlocke hair Extensions
|
|
|
*What length do you require?
|
|
14 inch 16 inch 18 inch 20 inch 22 inch
|
|
|
Please state your requested Date / Time for colour match
|
|
|
|
|
*Please state your requested Date / Time for fitting
|
|
|
|
|
Any further comments or queries:
|
|
|
|
|
|
|
Please note, deposits are non refundable.
I certify that the above information I have provided is correct and that I have read the 'Aftercare' section of the website, i also agree to carry out all of the advice given to me. I understrand that correct Aftercare Products are essential and I am responsible for making sure these products are used at all times.
I will not hold the stylist responsible for any damage or injury caused by me failing to carry out the information & instructions given to me or for supplying any incorrect information at any time. I understand that regular maintenance is required to keep my extensions at their best and removal must be carried out after 3 months professionally.
*Please tick the below box to confirm you have read and understood the information above
|
|
|
|
|
Please tick
|
|
|
|
|
|
|