Private Consultation
Complete the questions and upload your current photos so Juli can review your needs before we meet.
About You
Full Name
*
First Name
Middle Name
Last Name
Email
*
example@example.com
Mobile Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
What are you interested in?
*
Custom IBE® Hair Extensions
Mesh
Meshless Integration
Both / Unsure
How would you like to meet?
*
In Person
Zoom
What would you love to change about your hair?
*
Your Hair + Extension Goals
Are you currently wearing extensions?
*
Yes
No
What are you currently wearing?
What are you hoping to add?
*
Length
Fullness
Both length + fullness
Color dimension
What length are you hoping for?
*
14\"
16\"
18\"
20\"
22+
Not sure — I'd like your recommendation
How would you describe your current hair?
*
Fine
Medium
Thick
Is your hair currently color-treated?
*
Yes
No
Tell me about your current color.
Are you experiencing any of the following?
*
Fine/thinning hair
Visible scalp or loss of density
Hair loss
Breakage
Discomfort
Irritation
Damage
None
Is there anything about your scalp or hair health I should know before your consultation?
I understand my extension plan and investment will be customized after Juli evaluates my hair, goals, length, color, and the amount of hair needed.
*
I understand
Your Hair + Coverage Goals
A few details will help me understand your hair loss and determine which options may be appropriate for you.
What best describes what you're experiencing?
*
Fine/thinning hair
Visible scalp or loss of density
Hair loss
Breakage
Discomfort
Irritation
Damage
Other
Tell me more about your experiences selected above.
Where would you like more coverage?
*
Part
Top + crown
Front + hairline
Temples + sides
Throughout
About how long have you noticed the change?
*
Less than 6 months
6–12 months
1–3 years
More than 3 years
Is your hair loss currently changing?
*
Stable
Gradually changing
Rapidly changing
Unsure
Have you been evaluated by a dermatologist or medical provider for your hair loss?
*
Yes
No
Were you given a diagnosis?
If yes, please share your diagnosis.
Are you currently using any scalp or hair-loss treatments?
*
Yes
No
If yes, please briefly describe the treatments you are using.
Do you currently have scalp sores, infection, significant inflammation, or severe tenderness?
*
Yes
No
Have you worn a topper, wig, hair system, or integration system before?
*
Yes
No
What have you worn?
What would make you feel happiest with your result?
*
I understand Mesh / Meshless Integration requires professional maintenance approximately every 4–6 weeks.
*
I understand
JW Styling PDX does not diagnose or treat medical conditions. Medical clearance may be recommended when appropriate.
Let Me See Your Hair
Please take these in natural light with no filters.
Front
*
Upload a File
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Choose a file
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of
Side
*
Upload a File
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Back
*
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Inspiration Photo 1
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Inspiration Photo 2
Upload a File
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Before You Submit
Please
click here to review the JW Styling Policies
.
Electronic Signature
*
During your private consultation, Juli will take the time to understand your needs, and create a personal plan that’s designed specifically for you.
*
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Private Consultation
$150
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150
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