Mesh Consult Form

First name

Last name

Email

Phone

What brings you here to explore a wig or hair loss solution?

Have you experienced hair loss, thinning, or changes recently to your scalp/hair?

Have you had surgery in the last 6 months or plan to? If so, please explain

Are you currently pregnant or 6 months or less postpartum?

Yes - currently pregnant

Yes - within 6 months or less of postpartum

No

Have you been sick with high fever in last 3-6 months? (usually hair loss is a side effect from sickness - ie: covid, flu)

Yes

No

Are you currently on any medication? (only asking because some side effects of medication also cause hair loss)

Yes

No

Any current scalp or medical conditions I should be aware of?

How do you currently feel about your hair journey?

Describe your hairs natural density.

Fine

Medium

Thick

Course

What's your hair type?

Straight

Wavy

Curly

Coily

Do you currently wear..

Extensions

Topper

Wig

None

How often do you wash and style your hair currently?

Daily

Few times a week

Occasionally

Rarely

Describe you usual look?

Natural / Low maintenance

Polished and Professional

Styled Glam

Other

Are you looking for:

Partial Coverage

Full Coverage

Unsure I need some guidance

What method interests you most?

A Wig

Toppers

Extensions

Need guidance

Investment: Mesh/Meshless require hair cost separate of install price. Hair will need to be replaced every 5-9 months depending on care. Hair costs starts at $550+. Install/Maintenance starting at $450+ every 5-7 weeks.

I understand mesh integration is an ongoing financial and maintenance commitment

I am not ready for this kind of commitment(that is okay!), but I'd like to look at the other options for me!

Would you prefer to have a private expierence inside the salon?

What matters most when you are choosing a stylist?

Best way to contact you

Text

Call

Email

Please upload photos of your hair currently, best in natural indirect light, less busy background. This helps with me with our pre-consult.

To book a consultation for Mesh/Meshless Integration, please fill form out below. I will typically respond within 24 hours. In person consultation cost is a $50 nonrefundable deposit and is booked for 45 minutes. In person consult is required for this service.

To book a consultation for Mesh/Meshless Integration, please fill form out below. I will typically respond within 24 hours.
In person consultation cost is a $50 nonrefundable deposit
and is booked for 45 minutes.
In person consult is required for this service.