Appointment Request Form
Hair by Nicole Davis
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
May I text this number?
*
Yes
No
What services are you requesting? Choose multiple if necessary. (Ex color & cut)
*
Haircut
Highlighting
Color
Toner
Balayage
Other
Have you used any of the following on your hair in the past 2 years? (Please check all that apply)
*
Sun In
At home color/box dye
Henna Haircolor
Splat
Overtone/color depositing shampoo or conditioner
Temporary color
Perm/Relaxer
Pantene
Garnier
Coconut oil
None of the above
If yes to any of the above, when? (Leave blank if you have not used any of the above)
Less then 3 months ago
Less then a year ago
2 years
3 years
4 years
5+ years
I understand that using any of the above products has long term lasting effects on my hair. I agree that I am responsible for telling Nicole about the use of any of these products or products of similar function. (Including all non professional products)
*
Yes
No
What days work best for you?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What times work best for you?
*
Morning 9am-12pm
Afternoon 12pm-3pn
Evening 3pm-6pm
Anytime
How soon would you like to come in?
*
Within a week
2 weeks
3 weeks
4 weeks
ASAP (my soonest availability)
How often are you willing to come in for touch ups? (Some color/styles are higher maintenance then others. How often you’re willing to come in will determine if your goal is realistic. If not I will make suggestions to get you as close as possible.
*
4 weeks
6 weeks
8 weeks
10-12 weeks
My hair is... (check multiple boxes if you aren’t sure)
*
Short (above shoulders)
Medium (below collarbone)
Long (breast area)
Thin density
Medium density
Thick density
Is your hair virgin? (Never been colored)
*
Yes
No
If no when was your last color?
What is your budget range? (No judgement! This is important so that YOU are comfortable)
*
I agree and understand that my hair may take multiple sessions to achieve my ideal result.
*
Yes
No
Have you read, answered and understood all of the above questions to the best of your ability?
*
Yes
No
Submit
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