Hair Extensions Application

What is your name?*

First Last

Nice to Meet you!

I’m Lucia Stockmaster and I’m super excited to hear about YOUR Specific Hair Goals and Why you want the Personalize Cualtzin Experience!

That’s why I have a couple of quick questions for you to help me assess the current state of your hair, which ultimately helps me determine what extension technique will suit YOUR Specific Hair Goals and Needs.

Are you currently wearing Hair Extensions?*

Yes

What was your experience with other Extension Methods?

Yes

Have you had hair extensions in the past?*

Yes

If yes, what method did you have?

Yes

What are you looking to get out from getting Hair Extensions and the Personalize Cualtzin Experience?*

Are you looking to change your hair color completely, or stay with what you have today?*

Radically change my color

Stay with what I have, with minor adjustments.

What is your email address?*

What is your phone number?*

Show Me Your Hair Color

Follow the instructions below and upload photos of your current hair as well of one of your desired results (inspiration goal) on the next step. This is the final stage of the application and the most important.

Must be photos of your current hair
Use your cell phone
You will take 2 pictures- front and back

Upload your BACK shot*

Max. file size: 300 MB.

Upload your FRONT shot*

Max. file size: 300 MB.

Upload your inspiration picture*

Max. file size: 300 MB.

What is your prefer method for us to contact you?*

E-mail

Phone

Would you prefer an in-person or over-the-phone consultation?*

Phone Call

In-Person

Name

This field is for validation purposes and should be left unchanged.