Consultation form – Extensions installation 

Thank you for choosing Charlotte Miller hair design to start your hair journey. Please complete sections 1 and 2 before returning to your technician to complete together.

 

 

    Section 1A- Client details

    Complete these details so our team can get back in touch if necessary.

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    Name:

    Delivery Address

    Date:

    Contact number:

    Email Address:

    Section 2. Product choice

    Complete these details so our team can get back in touch if necessary.

    Please select from the following options.

    Section 3. About you

    Why do we need this information? This will help our team personalise their recommendation for you and your personal requirements. Your comfort is key to us, so if you are not comfortable sharing please do not worry – we can work around this during the consultation.

    1. Have you ever experienced hair loss or damage to your natural hair?

    2. Have you suffered from Alopecia?

    3. Are you on any medication that could cause hair loss?

    Are you aware of any allergies you have to metals?

    Section 4. Your current colour

    Please attach 2 high quality images of the colour you would like the extensions to match to?

    These are not urgent and can be sent directly to the Charlotte Miller Bespoke Hair extensions team on Whatsapp 07842832650 or email to orders@cmbespokehairextensions.co.uk

    Remember to quote your full name and date of form submission.

    Installation appointments & packages

    Our partner salon is based in Marlow, Buckinghamshire. Installation appointments are currently only available in this location. If you would like to make a location request – please add this into the consultation booking form.

    Online consultations

    Booking an online consultation will help our team assess your hair and requirements to make sure you have the best possible solution wherever you are! Book now to start your bespoke extensions journey now.