Digital Consultation Form

Digital Consultation Form

Please utilize this form as a mode of first contact. It will facilitate our process in efficiently scheduling our salon guests, and also provide important information about the temporary policies and changes during these times.
Name*

First NameLast Name
Pronouns (not required)
Phone Number*
Opt-in to text messaging*

YesNo
View our SMS Terms & Conditions HERE
Email*
example@example.com
Who is your Service Provider?*
If you are a first time guest, how did you hear about us and/or who referred you?
Are you in the process of scheduling your service through our online booking program?*

Yes (submitting this form is REQUIRED for online booking)No, I need to be contacted to schedule
Your Hair Profile

Please help us get to know your CURRENT hair history. Please note that in some instances your stylist may request a free of charge consultation before your visit to help ensure we are properly prepared.
What chemical processes have you done to your hair at home? (no judgement, please be honest! select all that apply)*

Applied store bought color (box color)Bleached/lightened myselfNothing at allOther
If you answered yes to applying store bought color, how long ago was it?
What chemical processes have you had professionally done? (select all that apply)*

Highlights/BalayageAll over colorGray coverage/Root retouchKeratin/Brazilian BlowoutPermChemical straightenerNothing at all
If you answered yes to receiving professional chemical services, how long ago was it?
How would you describe the health and integrity of your hair? (select all that apply)*

Healthy/No complaintsDryOilyChemically damagedMechanically damagedBreakageItchy/flaky scalpOther
Please list the services you would like done for your upcoming visit.*
list all services
What is the urgency on how quickly you need to be seen?*

Urgent, as soon as possibleNot a rush, I am flexible

What is your availability?*

	MORNING	AFTERNOON	ALL DAY	UNAVAILABLE
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Are you open to seeing a different stylist if your preferred stylist has no availability during your desired time frame?*

YesNo
Please feel free to go into more detail about any questions you may have for your stylist
*COLOR GUESTS* Please upload a couple of hair selfies so the stylist can assess how much time will be needed for the service. For the best results please take a picture outside or with as much lighting as possible. You do not have to be a photographer but this will help us make sure you get the best salon experience possible.
Please take a couple hair selfies of your current color (IN NATURAL LIGHT IF POSSIBLE)
Feel free to upload some desired hair results (not required)
I understand that due to high demand on our service provider's time, we kindly ask that any changes or cancellations be made 24 hours prior to your scheduled appointment. Late changes and cancellations are subject to a fee of $25 per hour fee based on the duration of time reserved for the scheduled services. No-call/No-shows are subject to a fee of up to 100% of the scheduled services.*

Yes
I understand, have read and completed this questionnaire truthfully. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I understand that withholding information or providing misinformation may result in contraindications and/or irritation to the hair service being received.*

Yes
Signature*

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Digital Consultation Form

Your Hair Profile