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19
Questions
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1
Today's Date
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Date
Month
Day
Year
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2
Name
*
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First Name
Last Name
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3
Phone Number
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Area Code
Phone Number
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4
Email
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example@example.com
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5
Have you had extensions before?
*
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yes
no
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6
What type of extensions?
*
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7
Do you have Extensions in your hair currently?
*
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yes
no
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8
What didn't you like about your other extensions?
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9
Why do you think NBR Extensions would be a good fit for you?
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10
Which of the following describes your hair texture?
*
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Fine
Medium
Course
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11
Which of the following describes your hair thickness?
*
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Very Little hair
Medium amount of hair
A lot of hair
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12
Are you looking to change your color completely or stay with what you have?
*
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Change my color radically
Stay with what I have
Change my hair some
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13
Is your hair at least shoulder length or longer?
*
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yes
no
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14
Have you had any recent damage or changes in your hair that are abnormal?
*
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yes
no
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15
If your answer was Yes, please describe the damage or recent changes you have experienced.
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16
Attach File for Front of your current hair
*
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Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
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17
Attach File for Back of current hair
*
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Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
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18
Attach a File for Inspiration photo
*
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Max. file size
: 10.6MB
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19
Having full knowledge of the financial commitments to obtain and maintain your NBR extensions, are you prepared to make the final investment necessary to sit in our chair and experience Natural looking Extensions?
*
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YES, I'm IN!!
No, I don’t want the most natural ‘Victoria Secret’ looking hair I’ve ever had, WITHOUT the damage of traditional hair extensions.
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20
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