New Guest Appointment Request Profile Form

THATCHER LYNN Salon & Wellness

"No Stress Plus Great Hair, Equals Lifestyle & Luxury!"
New Guest Request

Appointment Profile & Digital Consultation Form
Welcome to the place where it's ok to relax, rest, and reset. I look forward to meeting you soon! All new guests start here with a digital consultation form. This allows me to get to know you and your hair/health goals, so that we can ensure that your initial appointment is scheduled properly.

This is actually the first step in the consultation process. Please complete this form and I will be in touch within 48-72hrs during my work week, Tuesday-Friday, with scheduling details and any questions. All requests submitted Saturday-Monday will be responded to on Wednesday. If you have any questions or need support, please email me at koree@thatcherlynnsalon.com

Let's start this digital consultation!
Name*

PrefixFirst NameLast Name
Email*
You will receive a follow-up email to confirm your appointment.
Phone Number*
You will receive text reminders about your appointment.
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What type of Holistic Hair/Health Service are you considering?*
Which microlock service are you interested in?*
What hair services do you generally receive currently? Select All That Apply*

BlondingChemical RelaxersGrey Coverage Hair ColorHair CutsHair ExtensionsLocs RetighteningOverall Hair Color Without Grey CoverageProfessional Conditioning TreatmentsSilk PressSmoothing TreatmentsSteam TreatmentsTwists or BraidsWeekly Styling ServicesN/AOther
Have you recently had surgery?*

HysterectomyPregnancy/C-sectionThyroidWeight LossNoneOther
What health service are you currently being treated for? Select All That Apply*

Hormonal Hair LossHigh Blood PressureAnxiety/DepressionIBSInsomniaMental HealthMenopause HealthThyroid HealthWeight GainWeight LossAdult AcneNoneOther
Do you currently have extensions installed?*
What type of extensions have you worn most recently or are you wearing now?*
How long do you keep your extensions installed?*
Check all of the terms that best describe your natural hair or the current state of your hair?*

Fine/ThinMedium DensityThickCoarseCurlyCoilyWavyStraightActively ThinningNot Applicable to the service request.DryOily
Tell me more about your goals and what would be your desired outcome.*
My hair has been chemical-free:*
My last smoothing treatment:*
My last color service:*
My hair is currently:*
My last bond building treatment:*
My last hair cut/trim:*
How many inches of hair do you currently have?*
How many locs do you currently have?*
How many locs do you need repaired?
Check All That Apply:*

I am currently on medication/supplements.It has been 6 months or longer since I've taken any medications, had any surgeries or any life altering experiences.I have worn braids, crochet, sew-ins, wigs or other hair extensions in the last 3-6 months.I do not currently take any medications.I have a medically diagnosed scalp condition.I am currently experiencing hair loss, thinning or male-pattern baldness.My family has a history of genetic balding.I use over-the-counter products on my hair.I am currently experiencing adult acne.I use over the counter skin care products.I use professional hair care products.I use professional skin care products.I have been medically diagnosed with a hormonal imbalance.I am currently in perimenopause.I have experienced menopause.I am in post menopause.I have not yet experienced any menopausal symptoms.
Tell me more about your overall health/ hormone health goals?*
What are your hair goals? *
List Medications/Supplements used in the last 6-12 months:*
Ex. Blood Pressure Medicine, Magnesium (Be Specific)
How would you describe your diet?*
Ex. I eat a lot of processed foods, sugar...
Are you currently or have you ever been seen by a nutritionist?*
Allergies:*
Have you been under any stress in the last 6-12 months?*
Ex. Health, Grief, New Job, Pregnancy
What are your favorite ways to decompress?*
Ex. Exercise, Walk, Listen to music
What days/times are you available? We will make every effort to get you in as soon as possible in line with the information you enter here. The more available you are, the faster we will be able to get you in.*

Tuesdays 10-12Tuesdays 2:30-4:30Thursdays 10-12Thursdays 2:30-4:30Fridays 10-12I will make anything work, I just need to get in ASAP
Is there anything else that I should know, or something that you would like to share about yourself? Are there any questions that you have for me before we schedule your appointment?*
How did you hear about me?*
What is the name of the guest that referred you?*
What is your social media?
Photo of Current State of Your Hair
Today's Date*

MonthDayYear
Date
Hour MinutesAM/PM Option
By clicking the submit button below, I agree to these terms:

By completing this form, i am submitting an appointment request and price quote inquiry. In response, I will receive an email with an appointment time and date option and a general price quote.

My in-salon appointment will begin with a 30-60 minute consultation, depending on the service requested to refine the plan for my services.

Generally, new guests are able to be seen within 2-3 weeks of appointment submission request, but guests with limited availability may have to wait up to 6 weeks to be seen.

I understand that there is a strict 48 hour cancellation policy and if I do cancel my appointment with less than 48 hours notice, I may be excluded from scheduling future appointments.

Additional terms and policies can be read here, https://www.thatcherlynnsalon.com/terms.

If I've already scheduled an appointment, this information will be accompanied by my in-salon/virtual consultation.

I AGREE*
Signature*

Powered by Jotform SignClear
Thank you for your interest in THATCHER LYNN Salon & Wellness services! I will be in touch within 48-72hrs Tuesday-Friday.
Should be Empty:

THATCHER LYNN Salon & Wellness

New Guest Request