Name *

First Name

Last Name

Phone

(###)

###

####

What style are you interested in? *

Middle Part

Side Part

Flip over

Undecided

Have you had extensions before *

Yes

No

What is your budget *

£150-£180

£180-£250

Will you be Purchasing Lorraine styles extensions or providing your own

Lorraine Styles Extensions

My own

Is your hair longer than 3-4 inches *

Yes

No

Hair length *

please select the length of your natural hair.

Above shoulder

shoulder length

Below shoulder

Mid Back

How thick is your natural hair *

Fine

Medium

Thick

Extra thick

Are you suffering from Alopecia *

Yes

No

Are you on Any medication that causes hair loss *

Yes

No

How often do you use heat tools *

This includes, blow dryers, straighteners, a hot comb etc.

Quite often

Only for occasions

Never

When needed

Do you have an active lifestyle. *

This includes going to the Gym, Pilates Swimming or any other form of exercise.

Yes

No