Client Consultation Form

1

Name* This field is required.

First Name

Last Name

2

Email * This field is required.We will email you with any questions we have!

example@example.com

3

Phone number (text friendly)* This field is required.

Area Code

Phone Number

4

Referred by:

5

I am inquiring about:* This field is required.Select all that apply

Hair color

Extensions

Haircut

Other

6

Stylist Request* This field is required.Who would you like to get your hair done by?

Clara

Jezabel

First Avaliable

Other

7

MAINTENANCE How often would you like to be back in the salon:* This field is required.We will go over this once again the day of your appointment

4-6 weeks

8-12 weeks

3+ months

whatever my desired look takes

8

I would like to:* This field is required.*For color inquiries

maintain what I currently have

make an enhancement that isn't too obvious

go lighter

change my look completely

9

Attach a photos of your current hair. * This field is required.No filtered photos please.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

FRONT, SIDE & BACK

10

Attach photos of your hair goal!* This field is required.The more the merrier!

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

If applicable

11

Any additional information about you hair goal?If none, just skip

12

How important is your hair to you?

Extremely, my hair is everything & it always looks good

Very, I have a routine

I do the basics to keep it looking good

It is not a priority

14

What services have you received in the last 2 years?* This field is required.

Hair color

Extensions

Permanent Wave

Smoothing System (keratin, brazilian. relaxer)

Never have, first timer!

15

Who currently does your color?* This field is required.

Professional Stylist

Beauty School

Myself (box color, beauty supply store products)

It has been over 3 years since I've had ANY color in my hair

I have never colored my hair before

16

What do you love most about your hair?

17

Tell me the last 3 years of your color history:* This field is required.

Your previous color process, highlights, box, date/month it was done etc.

18

What do you dislike about your hair?

19

Tell me more! Any concerns or expectations:

20

How often do you wash your hair?

daily

4-5 times a week

2-3 times a week

weekly

21

Do you have well or hard water?

yes

no

22

List the products you use at home:* This field is required.

shampoo, conditioner, etc