Digital Consultation

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Hi I’m so happy you’re here! This form is to help me get to know my new guests and their hair. If you need to reach out to me directly please email me at breannepurserhair@gmail.com

First and Last Name *

Phone Number *

Email *

What age group do you fall into? *

Under 25

26-46

47-65

66 or Older

How long is your hair? *

Above my shoulders

Shoulder length

Long Hair, below my shoulders

Extra long hair

What best describes your hair? *

Fine and whispy, lower density

Average, not too thick, not too thin.

Extra thick, I have a lot of hair

Do you have color in your hair?(within the last five years) *

Yes I have been coloring at home

Yes, I have been coloring in a salon

I have a combo of salon color and home color

I have hena color in my hair

No, my hair is virgin hair

Which best describes how you generally style and wear your hair? *

I prefer to blow my hair out smooth

I scrunch my hair and wear it naturally curly/wavy

I don’t typically style my hair, I prefer to air dry

I do a combination of scrunching and blowing it out smooth

Other

Do you have any gray hair? *

Maybe a few strands here and there

Oh yes, I have a lot

I don’t have any gray hair

How would you prefer to be contacted? *

Text Message

Do you have any questions about extensions? If so list them here please

Is there anything else you would like to talk to me about?

Submit

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