Wild Roots Hair Lounge

Digital Hair Extension Consultation

What date would you prefer for your extension consultation or service? (required)

Have you worn hair extensions before? (required)

What type of hair extensions are you interested in?

Hand-tied wefts

Tape-ins

K-tips

Not sure, I need a recommendation

Hair Loss Solution

What are your main goals for getting hair extensions? (required)

Are you looking to get color, extensions or both? Please describe (required)

Approx how tall are you (required)

What length are you hoping to achieve? (required)

What best describes your current hair length? (required)

What best describes your current hair density? (required)

What best describes your natural hair texture? (required)

What texture or daily wear style are you going for?

Please describe your current hair color, including any highlights, balayage, lowlights, or vivid colors. (required)

Upload a clear photo of your current hair from the front in natural lighting. (required)

JPG or PNG. We’ll upload it with your response. Selected — tap change to pick another.

Upload a clear photo of the back of your current hair down, in natural lighting. (required)

JPG or PNG. We’ll upload it with your response. Selected — tap change to pick another.

Upload any inspiration photos showing your desired extension look. Upload color, length ,and style inspo. (required)

JPG or PNG. We’ll upload it with your response. Selected — tap change to pick another.

Hair History. Well water, allergies, adverse experiences, color history, medication/illnesses, etc.

Please describe any color, chemical, or smoothing services you have had in the last 12 months. (required)

Have you experienced significant hair loss, excessive shedding, or thinning recently? (required)

If you have experienced hair loss, shedding, or thinning, please explain. (required)

Do you currently have any scalp concerns? (required)

Dry scalp

Oily scalp

Dandruff or flaking

Sensitivity or irritation

Psoriasis or eczema

Recent sores or wounds

Alopecia

Balding

Are you currently pregnant, postpartum, or experiencing hormonal changes that may affect your hair? (required)

Lifestyle and Maintenance

Budget and Expectations

What is your estimated yet firm budget for the initial extension installation, including hair and/or color services? (required)

What is your preferred maintenance budget per appointment? (required)

Is there anything specific you do not want with your extension or color result? (required)

Do you have any upcoming events, travel, or deadlines we should consider when planning your service? (required)

What do you like about your current hair and hair salon experience? (required)

What do you not like about your current hair and current hair salon experience? (required)

I understand that an in-person consultation may be required before booking an extension installation. (required)

I understand that extension pricing varies based on method, amount of hair, length, color matching, and maintenance needs. (required)

I understand that hair extensions require proper at-home care and regular maintenance to protect my natural hair. (required)

I understand that all deposits paid are non-refundable. (required)

I understand that no call/no-shows can be subject to a full missed service price fee (required)

I understand that I would have 5 days post service to contact Tylar about any redo needs. No refunds are given. (required)

I understand that this form is a preliminary consult, not an appointment. (required)

New Client Intake Form For Extension and Hair Transformation Services

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