Hair Extentions Form | All Shook Up Hair

Simply fill in the form below and a member of the ASU team will be in touch shortly to discuss your requirements.

First name

Last name

Email

Phone

Instagram Handle

Have you visited ASU before?

Yes

No

Have you had hair extensions before?

Yes

No

Do you suffer from a sensitive scalp/skin irritation?

Yes

No

If you have had extensions before, which method?

Do you know the brand and type?

Have you ever suffered from hair loss?

If yes please give details.

My hair is currently

If other please specify

Do you suffer from any allergies or sensitivities?

Please describe

Add links to an Instagram, Pinterest or other image

This will give us a visual idea of what you would like to achieve!

Anything else you would like us to know?

HAIR EXTENSIONS