Gilded Appointment Request

1
What's your first + last name?* This field is required.
First Name
Last Name
2
What's your email?* This field is required.
example@example.com
3
What is your phone number?* This field is required.
Area Code
Phone Number
4
Who is your preferred stylist?* This field is required.
Andrea (no longer accepting new clients - waitlist only)
Victoria
Marissa
Molly
Maddie
Jessica
Jaylyn
Kylee (Emerging Stylist)
Brooke (Emerging Stylist)
First Available
5
Next, take three photos of your current hair in natural lighting. Must be taken the same day as submitting this form.

Front View

Side View

Back View

Please have these photos ready to upload. if possible, no selfies and no filters.
6
Upload the FRONT VIEW of your hair.* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
7
Upload the SIDE VIEW of your hair.* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
8
Upload the BACK VIEW of your hair.* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
9
Next, please find two pictures of your hair inspiration.

Please have these photos ready to upload.
10
Please upload the FIRST hair inspiration photo here.* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
11
Please upload the SECOND hair inspiration photo here.* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
12
When was your last color service?* This field is required.
Date
Month
Day
Year
13
When would you like to come in for your appointment?
ASAP
Within the month
No rush
14
Do you have any medical conditions or take any medications that affect your hair?* This field is required.
YESNO
15
Do you have any known allergies to any ingredients to hair products?
YESNO
16
Do you have gray hair?* This field is required.
YESNO
17
How would you describe your hair?
Fine
Medium
Thick
Coarse
Straight
Wavy
Curly
Dry
Oily
Damaged
Hair Loss
18
Type a questionAre you interested in booking a color or extensions service? (*Please note that we are a specialty salon that focuses on color and extensions. We do not offer haircuts as a stand alone service. Haircuts are only offered as an add on to a color or extensions service)
Color only
Color + Extensions
19
Are you currently wearing extensions?
Hand-Tied Wefts
K-Tips
Tape Ins
No Extensions
20
Do you have any recurring or current scalp conditions?* This field is required.
YESNO
21
Please describe the past two years of hair services you’ve had:
22
Have you used box dye on your hair within the last 5 years?No judgment here :) we just want to know your hair history!
YESNO
23
What is your primary hair goal for your appointment? And do you have any reservations or concerns?* This field is required.
24
What is your preferred appointment time? Select all that apply:
Weekday Mornings
Weekday Lunchtime
Weekday Afternoons
Saturdays
Anytime!
25
Have you had a chance to review our pricing? https://www.gildedsalon.co/services
YESNO
26
Would you like to schedule a consultation prior to your appointment for a more in depth discussion of your hair goals?*required for new extensions guests
YESNO
27
How did you hear about Gilded?* This field is required.
Referred by a friend
Instagram
Google
Website
28
Who sent you our way, so we can thank them!* This field is required.
Should be Empty: