Replenish Salon's Color Consultation

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Replenish Salon's Color Consultation

Replenish Salon's Color Consultation

Thank you for your interest in color services with us! Our number one priority with color services is to ensure the health and integrity of the hair and texture, so we like to start with a brief consultation form to determine if an in-person consultation and/or test strand is needed and to provide accurate dates for booking. So that we can best determine the correct color service and provide accurate availability & pricing, please answer all questions fully and accurately.

14Questions

1
Please provide your first and last name:* This field is required.
First Name
Last Name
2
Please provide your e-mail address: * This field is required.
example@example.com
3
Please provide your phone number: * This field is required.
4
When was your last trim?* This field is required.If an exact date is unknown, please provide approximate date.
5
What style was your hair in when you received your last trim?* This field is required.
Flat Ironed
Blow dry style (no flat iron)
Wash and go/Natural Curl Pattern
Twist Out
6
How often do you strengthen and/or deep condition your hair?* This field is required.
7
How do you wear your hair most often? (Please check ALL that apply).* This field is required.
Flat iron styles
Wash and Go
Twist Out
Protective Styles
Bun/Buff
8
Do you currently have ANY color that has been applied to your hair in the past 2 years including box color, professional color, rinses, glosses, and henna? If so please describe what and approximately when for each. * This field is required.
Huge
Large
Normal
Small
Ok
Ok
9
Are you currently pregnant or have you given birth in the last year? This can affect the health of the hair due to postpartum shedding.* This field is required.
Yes, and I've experienced a lot of changes to my hair.
Yes, but I've experienced little to no changes to my hair.
Yes, and my baby is under 6 months old.
No, I'm not pregnant or postpartum.
Yes, I'm currently pregnant.
10
What is your desired style on the day you receive color?* This field is required.
Sleek Style (Flat Ironed)
Wash and Go Style
Twist Out Style
Rod Set
Updo
Coil Set
11
Please provide current and clear images of your hair in its natural state (flat ironed as well if you have flat ironed images). * This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
12
Please provide inspiration pics for the color you’re looking to achieve.* This field is required.
Drag and drop files here
Select files to upload
Cancelof
13
Please describe in words what you're looking to achieve with your color?If you feel a deeper description is needed.
Huge
Large
Normal
Small
Ok
Ok
14
Do you have a stylist preference?* This field is required.
Shannon
Brandy
Stephanie
First Availabile
Should be Empty:

Replenish Salon's Color Consultation

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