New Client Pre-Consultation

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number* This field is required.
Area Code
Phone Number
4
How did you find us? (Give your friend, family, or co-worker credit by listing their name)* This field is required.
Facebook
TikTok
Instagram
Yelp
Online Advertisement
Google Search
Pinterest
Referred by a friend
Newspaper/Magazine
Other
5
Select a salon service(s) you are interested in:* This field is required.
Hair Color
Rod Sets
Color Correction
Twist- Out/Flat Twist
Balayage/Ombre/Color Melt
2-Strand Twist
Silk Blowout
Curly Cut
Treatments
Big CHOP
Speciality CUT/Shape
Relaxer
Wash & GO
Other
6
Upload an image of your DREAM HAIR * This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
You can upload multiple files here
Cancelof
7
Why are you switching stylist...even if that stylist is you? (Full disclosure here is great! What are you pet peeves? Did they talk too much, not check on you enough, unprofessional, crappy scalp massage, don't like the way they curled your hair? Don't be shy!)* This field is required.
8
On a scale of 1 - 10, how happy are you with your hair? (1=Hate it! 10=Obsessed!)* This field is required.
9
Which of the following best describes you?* This field is required.
I only get my hair done 1-2x a year
I want mild up-keep, touch ups every 8-12 weeks, I'll do the rest at home.
I don't want to touch it! I am willing to/used to getting my hair done every 1-2 weeks,.
I want to see you as often as necessary for the health of my hair.
Other
10
How often do you apply shampoo in your hair?* This field is required.
Every day
Every other day
Twice a week
Once a week
11
Describe your hair by checking the options below: (You can select more than one)* This field is required.
Healthy
Damaged
Straight
Wavy Curly
Fine
Thick
Curly
Kinky
Other
12
When was the last time COLOR, BLEACH, or HENNA was applied to your hair, professional or unprofessional? (Give us the deets)* This field is required.
13
When was the last time a RELAXER, PERM, or KERATIN treatment was applied to your hair, professional or unprofessional? (Give is the deets)* This field is required.
14
Do you have any hair loss concerns? (If yes, give us deets)* This field is required.
15
Let us know what hair products you're currently digging?* This field is required.
16
Upload an image of your hair in its current state. * This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
You can upload multiple files here
Cancelof
17
Terms and Conditions* This field is required.
18
Client Signature* This field is required.
Clear
19
Date Signed* This field is required.
Date
Month
Day
Year
20
Terms and Conditions
Should be Empty: