New Guest Consultation Form

I'm so happy you are interested in starting your color journey with me! This will help aid me in seeing your existing hair and hair goals. Then I can pick the right new client service to book.

After submitting this form you will hear back from me in 24-48 hours. Wednesday-Saturday, all forms submitted Sunday-Tuesday will be replied to on Wednesdays. I will send you a quick recap on what I think would work best for you! If you're wanting a more indepth consultation or have any questions we can discuss it via email.

Name *

First Name Last Name

Email *

example@example.com

Phone Number *

Please enter a valid phone number.

What type of service are you interested in? *

Haircut Blonding Grey Coverage All Over Color (One Solid Color) Vivid (Unnatural haircolor, Blue, Green, Purple Etc) Brazilian Blowout Treatment Other

How would you describe your hair? (Select all that apply) *

Do you have any hair or scalp concerns/issues? *

Thinning Scalp Irritation Flaking Bald Spots Psoriasis None of the Above

In the past three years how has your hair been colored? *

Professional Box Color Other

When was your hair last colored? *

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

What types of services have you received in the past three years? *

Blonde/ Balayage/ Highlights Red/ Copper/ Burgundy Dark Brown/ Chocolate Brown Black/ Blue Black Vivid Color (Blue, Green, Pink, Purple etc) Perm Permanent Straightening Other

How much time can you commit to your hair color sessions? *

1-2 hours 3-4 hours However long it takes/No time limit

How often are you willing to be back in the salon for maintenance? *

Every 1-2 months Every 3-4 months Every 5-6 months

Please choose all you are wanting to have done to your hair? *

Going lighter Going darker Add dimension- Highlights and/or Lowlights Gray coverage Going cooler/ashier Going warmer/richer Balance uneven color

Upload 2 photos of your current hair- Front and Back (no filters, and in natural shaded light avoiding direct sunlight) *

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Upload up to 3 photos of your goal hair! *

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Date you are looking to get in on of before? (Please note I do book a few weeks in advance and that this is just a request, not an accepted appointment) *

Date

How did you hear about Jordan Perez Hair? *

Google Yelp Instagram Facebook Referral Other

I understand that this is a general consultation intake form designed so that Jordan can help me choose which New Client Service option that I'm best suited for. I understand that if I desire a more thorough explanation of the coloring process, or a detailed analysis of my current hair I will need to schedule an in-person consultation online. I understand that by submitting this form it does not guarantee that my goal hair can be achieved in one session. I understand that by submitting this form it does not mean I have an appointment booked. I understand that average wait time to get on the schedule for a New Client Service is about 3-4 weeks. Sign below and click the submit button.

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New Guest Color Consultation Form