If you are considering wearing hair extensions let my expertise and experience evaluate your hair situation and determine if, and how,
Eternal Hair would work for you.  Based on the information you provide to me on the form below, I will evaluate your hair type, habits,
your preferred hair style, how much you are able to spend and any other pertinent information you supply related to your hair
problems.  This is an excellent opportunity for you to take your first step towards having beautiful, manageable hair once and for all.  

Some people cannot wear (non-clip on) hair extensions for many different reasons.  I will be able to determine if you are a good hair
extension candidate and if not, I will provide you with other alternatives that may help you to fix yourhair.

Please answer the questions on the form below to your best ability.  Be specific and most importantly, be honest.  The more information
you provide to me, the more accurate your consultation results will be.  I am here to help you, not to make money from you.  I
suffered for years with thin hair, alopecia, "never grows hair" and   You will reaps rewards for it.

After submitting the questionnaire, please allow at least 48 hours for my response.  Each Consultation is treated with careful
consideration so please be patient.    

Thank you,

Jana Morris
To receive the most accurate results, please complete all fields on the form unless otherwise stated.
Your Name:
Your Email Address:
Your Age Group:
Gender:
Race:
Have you ever worn hair extensions before?
Yes
No
If so, what kind?
Why did you stop wearing them?
How much money (approximately) do you have to
spend to achieve the hair style you seek?
What hair style are you seeking?
Please explain (optional but helpful):
What is your hair length? (please measure from scalp to end
of your longest hair in inches)
Which best describes your current hair characteristics?
Is your hair chemically processed (do you color it, perm it,
etc)?:
Yes
No
What condition is your hair in?
What is your hair consistency?:
How often do you wash your hair?
Does your hair grow fast?
No
Yes
Don't know
Please provide any other information about your hair that
you think may affect your ability to wear or not to wear
hair extensions
(be specific..the more info I have the better
I can help you)
(optional):
Please provide your concerns (if any)
about wearing hair extensions: (optional)
1559 Pheasant Ridge Drive  Paradise, CA 95969
1-530-876-9308   
LoveMyHair@EternalHair.com