Girl Gone Bronde Intake Form

Girl Gone Bronde Client Intake Form

I am the queen of consultations and preparedness! I want to make sure that I have a clear idea of what your current hair state is and where you're wanting to go with it. Once I have a clear idea of how to get you there, I'll respond in 24-48 hours with additional questions or a quote suited for you.
Contact Information
Name *

First Name Last Name
Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *
Please enter a valid phone number.
Basic Information

Here's a couple key questions to start getting to know you a bit better.
Are you a new or returning client? *

New Returning
How did you hear about me? *
When was your last hair appointment? *
How would you describe your hair? *

fine thick damaged dry coarse unruly curly or some kind of natural wave oily dull limp heavy
Do you currently have any scalp issues? *

thinning bald spots scalp irritation breakage flaking none
For your protection, please list any medication that you are currently taking or have taken in the past 6 months *
Please list any allergies in the space provided and include nail, skin, and hair product allergies. *
What do you currently love about your hair? *
What do you currently dislike about your hair *
What are your reasons for leaving your previous stylist? *
Hair Care and Routines

Let's get to know more about your haircare regimens!
Walk me through your styling routine. How often are you washing your hair? Styling? What products are you using and how? *
How often are you going back to the salon for maintenance *

1-2 months 3-4 months 5-6+ months
How do you feel about your maintenance schedule? *

I want to keep it about the same I want to go longer in between appointments I'm open to coming in more frequently
How much time can you commit to your hair color sessions? *

2-3 hours 3-4 hours 4-5 hours I'm fine with however long it takes/no time limit
Which is most important to you? *

Maintaining the integrity of your hair Getting to your hair goal as quick as possible
What is your 3 month budget for your hair needs? Take into consideration your initial service, maintenance services, and product purchases. *

$300-400 $500-600 $700-800 $900+ I'm open to your suggestions
I currently work Tuesday-Thursday 9am-6pm, will that work for your schedule? *

Yes No
What type of experience are you looking for *

Silent. No conversation Chat the day away Work/Read/Scroll my phone Major Relax, Minor Chat Be pampered and catered on An extra boost of positivity
Services Desired

What services are you interested in receiving
What hair services do you need? *

Cut Color Extensions
If desiring a cut:

Go significantly shorter/Completely new cut Keeping current length and slightly trimming Fixing a previous bad haircut
If desiring a color:

Go slightly lighter Go slightly darker Go significantly lighter Go significantly darker Gray coverage/Gray blending Go warmer/golden Go cooler/ashier Need more dimension Balance uneven color Need to fix a previous bad color service
If desiring extensions:

Need fullness only to match current length Need slight fullness and length Need significant length and fullness
Extensions Questions

If you're not interested in getting extensions, please skip this portion.
Have your had extensions before or are you currently wearing extensions?

I've had extensions in the past I'm currently wearing extensions I've never had extensions
What kind of extensions have you used or what kind are you currently using and for how long?
What do you like/dislike about the methods you've used in the past vs. the ones you're interested in getting?
Hair Color History

Below we're going to ask some questions to get to know your hair a little better! Please be as descriptive as possible. If you're just needing a cut, feel free to skip this section.
Please list in chronological order what services you've had in the past 3 years *
Have your previous colors been done professionally or with a box color? *
Your last hair color appointment was *

1-2 months ago 3-4 months ago 5+ months ago
Picture Uploads

It's critical for me to see what your hair looks like and the pictures you're striving for! Please take photos in natural light, away from direct sunlight. Remember, this is for me to get an idea of what your hair looks like, please no filters or far away photos with friends.
Please Upload 3 photos of your hair- Front, Side, and Back
File Upload *

function SvgDhtupload(props) { return /* @__PURE__ */ react.createElement("svg", dhtupload_svg_extends({ width: 54, height: 47, xmlns: "http://www.w3.org/2000/svg" }, props), dhtupload_svg_path || (dhtupload_svg_path = /* @__PURE__ */ react.createElement("path", { d: "M40.213 10.172c1.897.21 3.68.738 5.35 1.58a15.748 15.748 0 014.374 3.242 15.065 15.065 0 012.951 4.533c.72 1.704 1.08 3.522 1.08 5.455 0 1.827-.28 3.654-.843 5.48-.562 1.828-1.379 3.47-2.45 4.929A13.39 13.39 0 0146.669 39c-1.599.948-3.452 1.458-5.56 1.528H37.26a1.62 1.62 0 01-1.185-.5 1.62 1.62 0 01-.501-1.186c0-.457.167-.852.5-1.186.334-.334.73-.5 1.186-.5h3.848c1.44 0 2.75-.37 3.926-1.108a10.851 10.851 0 003.03-2.846 13.53 13.53 0 001.95-3.9 14.23 14.23 0 00.686-4.321c0-1.582-.316-3.066-.949-4.454a11.623 11.623 0 00-2.582-3.636 12.857 12.857 0 00-3.742-2.478 11.054 11.054 0 00-4.48-.922l-1.212-.053-.37-1.159c-.878-2.81-2.292-4.998-4.242-6.562-1.95-1.563-4.594-2.345-7.932-2.345-2.108 0-4.005.36-5.692 1.08-1.686.72-3.136 1.722-4.348 3.005-1.212 1.282-2.143 2.81-2.793 4.585-.65 1.774-.975 3.68-.975 5.718h.053l.105 1.581-1.528.264c-1.863.316-3.444 1.317-4.744 3.004-1.3 1.686-1.95 3.584-1.95 5.692 0 2.39.8 4.462 2.398 6.219 1.599 1.757 3.488 2.635 5.666 2.635h4.849c.492 0 .896.167 1.212.5.316.335.474.73.474 1.187 0 .456-.158.852-.474 1.185-.316.334-.72.501-1.212.501h-4.849a10.08 10.08 0 01-4.374-.975 11.673 11.673 0 01-3.61-2.661 13.173 13.173 0 01-2.478-3.9A12.073 12.073 0 010 28.301c0-2.706.755-5.148 2.266-7.326 1.511-2.178 3.444-3.636 5.798-4.374.14-2.354.658-4.542 1.554-6.562.896-2.02 2.091-3.777 3.584-5.27 1.494-1.494 3.25-2.662 5.27-3.505C20.493.422 22.733 0 25.193 0c1.898 0 3.637.237 5.218.711 1.581.475 3.004 1.151 4.269 2.03a13.518 13.518 0 013.268 3.215 18.628 18.628 0 012.266 4.216zm-11.964 13.44l6.22 6.85c.245.247.368.537.368.87 0 .334-.123.642-.369.923l-.421.263c-.211.246-.484.343-.817.29a1.544 1.544 0 01-.87-.448l-3.69-4.11v16.97c0 .492-.166.896-.5 1.212-.334.316-.729.474-1.186.474-.492 0-.896-.158-1.212-.474-.316-.316-.474-.72-.474-1.212V28.25l-3.584 4.005a1.544 1.544 0 01-.87.448.959.959 0 01-.87-.29l-.42-.264c-.247-.28-.37-.588-.37-.922 0-.334.123-.624.37-.87l6.113-6.746v-.052l.421-.422a.804.804 0 01.396-.29c.158-.053.307-.079.448-.079.175 0 .333.026.474.079.14.053.281.15.422.29l.421.422v.052z", fill: "none" }))); }

please make sure to take photos in natural light, away from direct sunlight to show the current color and condition of your hair of your hair
Cancel of
Please Upload 3 inspiration photos to show the colors, length, and/or dimension you're going for
File Upload *

function SvgDhtupload(props) { return /* @__PURE__ */ react.createElement("svg", dhtupload_svg_extends({ width: 54, height: 47, xmlns: "http://www.w3.org/2000/svg" }, props), dhtupload_svg_path || (dhtupload_svg_path = /* @__PURE__ */ react.createElement("path", { d: "M40.213 10.172c1.897.21 3.68.738 5.35 1.58a15.748 15.748 0 014.374 3.242 15.065 15.065 0 012.951 4.533c.72 1.704 1.08 3.522 1.08 5.455 0 1.827-.28 3.654-.843 5.48-.562 1.828-1.379 3.47-2.45 4.929A13.39 13.39 0 0146.669 39c-1.599.948-3.452 1.458-5.56 1.528H37.26a1.62 1.62 0 01-1.185-.5 1.62 1.62 0 01-.501-1.186c0-.457.167-.852.5-1.186.334-.334.73-.5 1.186-.5h3.848c1.44 0 2.75-.37 3.926-1.108a10.851 10.851 0 003.03-2.846 13.53 13.53 0 001.95-3.9 14.23 14.23 0 00.686-4.321c0-1.582-.316-3.066-.949-4.454a11.623 11.623 0 00-2.582-3.636 12.857 12.857 0 00-3.742-2.478 11.054 11.054 0 00-4.48-.922l-1.212-.053-.37-1.159c-.878-2.81-2.292-4.998-4.242-6.562-1.95-1.563-4.594-2.345-7.932-2.345-2.108 0-4.005.36-5.692 1.08-1.686.72-3.136 1.722-4.348 3.005-1.212 1.282-2.143 2.81-2.793 4.585-.65 1.774-.975 3.68-.975 5.718h.053l.105 1.581-1.528.264c-1.863.316-3.444 1.317-4.744 3.004-1.3 1.686-1.95 3.584-1.95 5.692 0 2.39.8 4.462 2.398 6.219 1.599 1.757 3.488 2.635 5.666 2.635h4.849c.492 0 .896.167 1.212.5.316.335.474.73.474 1.187 0 .456-.158.852-.474 1.185-.316.334-.72.501-1.212.501h-4.849a10.08 10.08 0 01-4.374-.975 11.673 11.673 0 01-3.61-2.661 13.173 13.173 0 01-2.478-3.9A12.073 12.073 0 010 28.301c0-2.706.755-5.148 2.266-7.326 1.511-2.178 3.444-3.636 5.798-4.374.14-2.354.658-4.542 1.554-6.562.896-2.02 2.091-3.777 3.584-5.27 1.494-1.494 3.25-2.662 5.27-3.505C20.493.422 22.733 0 25.193 0c1.898 0 3.637.237 5.218.711 1.581.475 3.004 1.151 4.269 2.03a13.518 13.518 0 013.268 3.215 18.628 18.628 0 012.266 4.216zm-11.964 13.44l6.22 6.85c.245.247.368.537.368.87 0 .334-.123.642-.369.923l-.421.263c-.211.246-.484.343-.817.29a1.544 1.544 0 01-.87-.448l-3.69-4.11v16.97c0 .492-.166.896-.5 1.212-.334.316-.729.474-1.186.474-.492 0-.896-.158-1.212-.474-.316-.316-.474-.72-.474-1.212V28.25l-3.584 4.005a1.544 1.544 0 01-.87.448.959.959 0 01-.87-.29l-.42-.264c-.247-.28-.37-.588-.37-.922 0-.334.123-.624.37-.87l6.113-6.746v-.052l.421-.422a.804.804 0 01.396-.29c.158-.053.307-.079.448-.079.175 0 .333.026.474.079.14.053.281.15.422.29l.421.422v.052z", fill: "none" }))); }

Cancel of
Are there any hesitations or negative experiences you have about color and/or extensions? *
Please describe what draws you to the inspiration photos you uploaded. Explain what you like and dislike. *
Ready to Submit

Please read the disclaimer below!
I understand that by submitting this form, it does not guarantee an appointment. I understand that by submitting this form I will receive general information based on the answers I provide, and may require an in person consulation for a fee to discuss more in depth questions. I understand that intial costs can vary greatly depending on my current hair, goal hair, and desired results. I understand that quotes given may not be the total amount after services are actually rendered, and some services may require a non-refundable retainer to secure an appointment. I agree that I am over 18, or if I'm under 18, that I've had a legal guardian review, sign, and submit this form on my behalf.
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Girl Gone Bronde Client Intake Form

Contact Information

Basic Information

Hair Care and Routines

Services Desired

Extensions Questions

Hair Color History

Picture Uploads

Please Upload 3 photos of your hair- Front, Side, and Back

Please Upload 3 inspiration photos to show the colors, length, and/or dimension you're going for

Ready to Submit