New Guest Appointment Request and Pre-Consultation Form

Charlotte Ballinger

natural looking color and highlighting specialist
New Guest Appointment Request and Pre-Consultation Form

Please fill this form out as thoroughly as possible, the more info the better! After this form is received, I will contact you via email within 48 business hours. Please keep an eye on your junk folder just in case. A complimentary in-person consultation may be requested if I need more information about your hair needs.
Before we get started please understand that due to the current demand on my schedule availability is limited. Because of this it is more important to me than ever to be sure that I am the best stylist to meet your hair and schedule needs.

I specialize in natural looking, low maintanence hair color and highlighting with an emphasis on hair health. At this time I am exclusivley scheduling new guests within my specialty. Hair cut and waxing appointments are only available in addition to color services for new guests.
Name *

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

City State
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 or another stylist refer you? Give them a shout out here!
What type of color or highlighting service(s) are you interested in scheduling? Check all that apply. *

Natural looking, low maintenance color I want to be as blonde as possible! I have grey and I would like it blended or covered! I want to go darker or red! I don't know what to ask for, I just know I want highlights! Other
While I think they are very fun, I currently do not offer the following services: direct dyes and vivid colors (think blue, green, pink etc.), bridal styles and permanent waving. Hair cut and waxing appointments are only available in addition to color services for new guests.

If I do not offer what you are looking for I appreciate the time you have spent getting to know my business and wish you the very best in your search for a stylist!

If you would like to continue filling out an appointment request for a service within my specialty please go back select one of the listed options.
What services would you like to schedule in addition to your color or highlight. At this time non-color services are not available as stand alone appointments for new guests. Check all that apply. *

Add a blow-out/style! I want "THE WORKS!" Add a hair cut! I am ready for a major change to my haircut and over all style! Add a hair cut! I would just like to add shape and trim off my unhealthy ends. Add a conditioning treatment! My hair needs a little extra love! Add an eyebrow shaping or facial waxing I would like more information about Halo extensions! I don't need anything other than my color/highlight at this time!
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, none of these work for me!
Unfortunatly, I do not have any evenings or weekends available for new guest appointments at this time and I am out of the salon on Tuesdays. I apologize for the inconvenience.
Do you have a specific date you would like to be scheduled on or before, if possible? (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! *

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Cancel of
Please upload a picture of you hair currently. No filters please :) *

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Cancel of
Is there anything else you would like me to know about you, your hair or your schedule?
I always keep a waitlist in case of cancellations. If I am unable to accommodate you within the timeline you are looking for I would be happy to add you to it. *

Yes, please add me to the wait list! No thank you. I am not interested in the waitlist at this time.
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Charlotte Ballinger

New Guest Appointment Request and Pre-Consultation Form