Client Consultation Form - Mobile Microlink Hair Extension Services

Name*

First

Email*

Address*

Street Address City State ZIP Code

Phone*

Have you had extensions before? If so, what method(s)? Any issues?

How would you describe your hair density?

Please select the following that best describes your hair texture:

Does your current length allow you to make a ponytail?

Are you sensitive to, or have you suffered a reaction from any hair / scalp treatments or chemicals?

Do you color your hair? If so, how often?

Have you suffered from hair loss for any reason?

Have you been diagnosed with Alopecia?

Do you suffer from Eczema, Psoriasis, itchy, or sensitive scalp?

Do you have damage that suggest you wear your hair in protective styling?

Are you on a vegetarian or vegan diet?

Are you pregnant or have you had a baby in the last 6 months?

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