FILL THIS OUT FOR BOMB HAIR Name * First Name Last Name Email * Phone (###) ### #### Were you referred by someone? * If someone sent you my way, let me know their name so I can thank them! yes no What are your hair goals? * Give me the whole vision: length, color, texture. How you'd wear it, is it grow growth, a funky color? What concerns are you dealing with? * Hair Loss Thinning Slow Growth/ Want Growth Postpartum Color Damage Bad Haircut I Don't feel like myself Have you ever worn extensions * yes no I'm wearing them now Do you have a specific extension method in mind? * I am licensed and specialize in a blend of methods, take your pick Hand Tied / Beaded Row Extensions Keratin bonds Custom Made Clip-In's I need your recommendation Preferred Date * MM DD YYYY Anything else you'd like me to know about you or your hair? * I'm here to listen. Thank you so much for reaching out!I’m already looking forward to learning more about your hair goals. You’ll hear from me within 1–2 business days to go over next steps.✨ Want to get to the front of the line?If you’re excited and ready to chat sooner, you can text me directly at 510-258-7454 and let me know you sent in your form.I can't wait to help you feel like you again — but softer, fuller, and even more radiantchat soon! xoif you aren’t already stalking, i mean following, us on instagram, what are you waiting for?@mirandartistry
