Pre-Consultation Questionnaire

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First name

Last name

Email

Phone

Have you worn a wig or topper before?

Regularly

Occasionally

Never

In the past

What services are you looking for?

Wig Consultation

Topper Consultation

Follow up Appointment

Refresh- Clean, Condition & Style

Full Service- Clean, Condition, Cut & Style

What is your preferred hair length?

What shade of hair do you prefer?

What hair concerns do you have?

Please upload Inspiration photos or how your hair was before loss.

Please upload images of your hair now (if possible)

Signature

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Date

Day

Month

Year

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