Fuller Hair Consultation Form

Fuller hair consultation form

First Name

Last Name

Contact Number

Email (we will use this to reply to your enquiry, please check your spam or junk folder)

Have you visited Avenue Boutique before?

Yes

Have you had hair extensions before?

Yes

Do you suffer from a sensitive scalp/skin irritation?

Yes

If you have had extensions before, which method?

Do you have any allergies or skin sensitivity's (if so please specify)

Do you suffer from hair loss? (if so, please give any details you feel we should know)

My hair is currently (please tick all that apply)

I would like to:

Please use this box to let us know about anything else you feel we should know

Please tick that you agree to our policies

Yes

Please tick that you agree to receive news and offers from Avenue Boutique

Yes