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Hair Extension Consultation Form
What to expect before booking a consultation
In order to make sure that extensions are suitable for your hair and your lifestyle, your hair extension technician has a number of topics to address during the consultation (as well as your color match and which method is right for you). Your lifestyle should be transparent and honest, as some activities and international travel may occasionally influence your hair extensions. Extensions require routine maintenance visits (usually every 4-8 weeks). Make sure you have the time to attend these sessions because, if you skip maintenance, we won't be able to guarantee the quality or longevity of your extensions. Additionally, not everyone is a good candidate for hair extensions, therefore it is far better to know before your install rather than after.
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Indicates required field
Name
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First
Last
Zip Code
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Phone Number
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Email
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I am a...
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New Guest
Returning Guest
How did you hear about us?
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Instagram
Google
Word of mouth (Referral)
Facebook
Yelp
Other
Referred by
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Date of Consultation
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Enter the date you wish to have a consultation
Have you had extensions before?
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Yes
No
If yes, which method was used?
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Have you ever suffered from hair loss?
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Yes
No
Have you ever been diagnosed with alopecia?
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Yes
No
Are you currently taking any medication that causes hair loss, thinning or excessive growth?
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Yes
No
Have you been pregnant in the last 6 months?
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Yes
No
Do you suffer from psoriasis or eczema on the scalp?
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Yes
No
Would you consider yourself to have a sensitive scalp?
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Yes
No
Do you have any known allergies?
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Yes
No
How often do you wash your hair?
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Do you dye your hair?
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Yes
No
Do you frequently go to the gym?
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Yes
No
Do you go swimming?
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Yes
No
Front Hair Profile
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Max file size: 20MB
Back Hair Profile
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Max file size: 20MB
Side Hair Profile
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Max file size: 20MB
Hair Inspiration/End Goal
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Max file size: 20MB
Hair History and Past Service Details
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Please provide as much information as possible so that we may better understand your hair's history.
By clicking submit, you are confirming that the information above is accurate and that your hair extension professional possesses any information that you believe they should be aware of. You acknowledge and accept that La Vida Salon and Spa cannot guarantee the quality or longevity of the hair if you do not purchase any recommended products or follow after-care guidance.
Submit
Home
SERVICES
Luana's Services
Team's Services
Spa Services
>
Scalp Facial
Facial
Make-up
Brow Body & Face
Lashes
Hair Extensions
Appointments
Hair Services Request
Extension Consultation
Spa Services Request
Brow, Body, Face Services Request
Lash Services Request
Education
Shadow Day Request Form
Meet the Team
Become A Part Of Our Team
Blog
