Name *

First Name

Last Name

Phone *

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###

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Why do you want extensions? *

Check all that apply

Add Length

Add Fullness

I am growing my hair out from a short haircut

I had a bad haircut

My hair is short due to breakage

My hair is thinning

I am ready for a change

What would you describe your hair? *

Check all that apply

Fine

Medium

Coarse

Thin

Thick

Oily

Dry

Flat/Limp

Heavy

Frizzy

Damaged

Healthy

I have... *

Check all that apply

Straight Hair

Wavy Hair

Curly Hair

Coily Hair

Are you currently experiencing any scalp/hair issues? *

Thinning

Dandruff

Dry Flaky Scalp

Breakage

None of the above