Name * First Name Last Name Email * Phone (###) ### #### Best Way to Contact You: Email Phone Text How would you describe your natural hair texture? Fine Medium Course How would you describe your natural hair type? Straight Wavy Curly Please list all of your current haircare products, including shampoo, conditioner & styling products: How would you describe the current length of your hair? Pixie Short Medium Long How would you describe your overall hair quality? Check all that apply. Thinning Lacks Volume Dry Frizzy Damaged Colored or highlighted Bleach processed Mostly Healthy How would you describe your scalp? Normal Dry Oily Other How often do you wash your hair? Daily Every other day Twice a week Once a week How do you most often style your hair? (check all that apply) Air Dry Blow Dry/Diffuse Heat Styling (Straightener/Curling Iron) How often do you wear hair in a pony tail or messy bun? Daily A few days a week Only if needed When I work out What is your main hair concern right now or desired goal? Please feel free to share anything else you'd like me to know about your hair! Thank you! Hair Extension Application