Pre-Extension Service Client Questionaire
Client Questionaire
Date: __________________________
Name: ______________________________________ Phone: _________________________
Email: _____________________________
Street: __________________________________________________ City: __________________
St: _________ Zip: ________________
Please answer the follwing questions for us to better understand your needs:
1. How did you hear of our hair extention services?___________________________________________________________________
2. How did you hear of this salon / stylist?___________________________________________________________________________
3. What is your reason for wanting extentions?_______________________________________________________________________
4. Have you ever worn hair extentions before?________________________________________________________________________
if yes, when and what type? _______________________________________________________________________________________
5. Are you interested in extentions as a long term option for styling your hair? ____________________________________________
6. Are you interested in extentions to help grow out your hair? _________________________________________________________
7. What is the longest your hair will grow on its own? __________________________________________________________________
8. What is your normal hair maintenance program? ____________________________________________________________________
Please list all products you use at home and how frequently:____________________________________________________________
9. How often do you visit the salon for maintenance and touch up services? _______________________________________________
10. What is your long term goal for your hair?_________________________________________________________________________
11. Do you have any allergies (chemicals, medication,materials, or other) ?__________________________________________________
12. Are you presently experiencing an unusual amout of hair loss? ______________________________________________________
(Reason Chemotherapy, stess related, alopecia etc.) ____________________________________________________________________
13. Special Interests:______________________________________________________________
14. Work-out / Sports activities: ____________________________________________________________________________________
15. Please list main questions of concern regarding this service: _______________________________________________
