Stephanie@vintageblondehair.com
Name
*
First Name
Last Name
E mail
*
example@example.com
Phone Number
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about Vintage Blonde Hair?
Friend Referral
Instagram
Facebook
Website
Google
Yelp
Nextdoor
Other
What services are you interesting in receiving?
Shampoo & Blow-dry
Add-on Curls
Conditioning Treatment
Color Retouch
Color Retouch & Gloss
Color Retouch & Cut
Color Retouch, Gloss & Cut
Dimensional (includes retouch, gloss/toner & partial highlight)
Dimensional (includes retouch, partial highlight, gloss/toner & cut)
Toner /Gloss
Partial Highlight (includes gloss/toner as needed)
Partial Highlight & Cut (includes gloss/toner as needed)
Full Highlight (includes gloss/toner as needed)
Full Highlight & Cut (includes gloss/toner as needed)
Full Balayage: specialty Color Placement - Foliage -Teasylights (gloss/toner included as needed)
Brazilian Blowout
Hand-tied Hair Extensions
Other
Is your hair colored?
Yes
No
If yes, what is your current color? Are you happy with it or would you like a change?
How would you best describe the texture of your hair?
Fine
Medium
Coarse
How would you best describe the density of your hair?
Thin
Normal
Thick
What is the current length of your hair?
Above the shoulders
Shoulder length
Below the shoulders
Please attach a current photo(s) of your hair:
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Please attach an inspiration photo(s) of your hair goals:
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Do you have any questions or concerns?
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