New Guest Pre- Consultation Form

Charlotte Ballinger

natural looking color and highlighting specialist
New Guest Pre-consultation Form

Please fill this form out to the best of your ability. After this form is received, I will contact you via email within 48 hours to schedule your appointment. If more information is needed, a complimentary in-person consultation may be requested.
Name *

First Name Last Name
Email *
example@example.com
Phone Number *
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Birth Date

Month Day Year
Date
How did you hear about me?
Did a friend refer you? Give them a shout out here!
What type of color service(s) are you interested in scheduling? (At this time non-color services are not available as stand alone appointments for new guests. They may be booked in addition to your appointment) *

Natural looking, low maintenance color I want to be as blonde as possible! Grey coverage color I want to go darker or red! I don't know what to ask for, I just know I want highlights! Please add a haircut and blow-dry/style to my service! I want "THE WORKS!"
Have you box colored your hair in the last 3 years?

Yes No
Have you had a perm or texture service within the last 3 years?

Yes No
Have you ever had an adverse reaction to hair color.

Yes No
What hair products are you currently using?
Why are you looking for a new stylist?
On a scale from 1-10 how happy are you with your hair right now?

1

2

3

4

5

6

7

8

9

10

1 is Hate it., 10 is Obsessed!
How would you describe your personal style? Choose as many as you want!

Classic Trendy Glam Edgy Chic Simple
Which of the following best describes you?

I only get my hair done 1-2x per year I don't mind mild up-keep. Maintenance every 10-12 weeks is fine. I want my color/cut to be maintained regularly. I am ok with/used to getting my hair done every 8 weeks. I want to see as little wear as possible. I want to sit in your chair every 4-6 weeks for touch-ups, trims and/or treatments
What is your availability? (Please check all that apply) *

I'm flexible! I will take the first available! Monday mornings Monday afternoons Wednesday mornings Wednesday afternoons Thursday mornings Thursday afternoons Friday mornings Friday afternoons Uh oh! I can't do any of those! Do you have any other options?
If possible, I would like my appointment on or before this date (please leave blank if you are looking for first available)

Month Day Year
Date
How much does budget affect your hair choices?

Highly - I will choose an option based on my budget. Somewhat - I am willing to be flexible based on what I want and upkeep. While I am price conscious, my hair vision won't change based on price. My hair is something I want to invest in. It is the only accessory I can't take off!
Do you have have inspiration photos? Upload them here!

Cancel of
For color services, please upload a picture of you hair currently. No filters please :)

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Is there anything else you would like me to know about you, your hair or your schedule?
Should be Empty:

Charlotte Ballinger

New Guest Pre-consultation Form