Great Lengths Client Questionnaire
Email address *
Date
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Name
Your answer
Phone
Your answer
Address
Your answer
How did you hear of the Great Lengths hair extension service?
Your answer
How did you hear of Alanis Salon?
Your answer
What is your reason for wanting Great Length hair extensions?
Your answer
Have you ever worn hair extensions before?
If yes, when and what type?
Your answer
During any of these services, did you experience excess hair loss or damage to your natural hair? If yes elaborate.
Your answer
Are you interested in Great Lengths to help you “grow out” your hair from its present condition?
What is the longest your hair will grow?
Your answer
When was the last time you let it grow to that length?
Your answer
What was your reason for cutting it?
Your answer
How long do you want you hair?
Your answer
Where do you want to see volume?
Your answer
What is you normal maintenance program?
Your answer
What products do you use at home and how frequently?
Your answer
Which of the following services have you had done in the past 12 months?
How often do you like to change your style or hair color?
Your answer
Does your hair tangle easily?
Are you presently taking any medication(s) or under a physician’s care?
If yes, what medication(s) and for how long?
Your answer
Have you been ill, had surgery or on any medication(s) in the past 6 months or year?
Your answer
Are you planning to have surgery in the next 6 months?
Do you have any allergies (chemicals, medications, substances, materials or any others)?
Your answer
Do you have any medical conditions that may interfere with this service? i.e., Migraines, headaches, history of scalp problems? Please explain.
Your answer
Are you presently experiencing an unusual amount of hair loss? If yes, is it related to chemo therapy, stress, pregnancy, alopecia, hormones, etc.
Your answer
Special interests or hobbies?
Your answer
Work-out or sport activities?
Your answer
Do you use tanning beds? If yes, how often?
Your answer
Any questions or concerns regarding the service?
Your answer
By typing my name below I acknowledge that I have answered this questionnaire honestly. *
Your answer
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