New Guest Questionnaire

DIGITAL CONSULTATION
Hello Beautiful! I can't wait to meet you! This digital Consultation form helps me get to know you and your hair better. I know you time is extremely value, this digital consultation forms ensure that I am able to accomodate your request. For your peace of mind your contact information will never be shared with any third parties
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
NoYes
TuesdayWednesdayThursdayFridaySaturday
MorningAfternoonI'm Flexible with my schedule
Shampoo, Cut, & StyleSilk PressGrey Coverage Retouch Hair ColorScalp Detox -Conditioning TreatmentLow Maintenance Hair Color (Balayage, Ombre, Foilyage, & or Teasy Lights. Rooted haircolor where roots looks like intentional grow out etc Maintenance = a few times a year with toning maintenance appointments in-between)Curly Cut & Style (Styling may include a wash n go, finger coils, comb twists & or a rod set- Hair will be dried using diffuser, salon hooded dryer, or there is also an option to air dry)Hair Extensions-Options include, Traditional Sew In, Micro-Link Sew In, K-Tips, I-Tips & Tape insHigh Maintenance Hair Color (Double process blonde, Full-Highlight-Haircolor where highlights/blonde is near scalp with intention to keep roots just as bright. Maintenance = root touch up every 4-6 weeks)Partial-Highlight (Modern version of a mohawk sectioning for highlights.Other
1-2 hours3-4 hoursI don't have any time restraints, I'm fine with however long it takes
Every 1-2 monthsEvery 3-4 monthsEvery 5-6 months or longer
Tell me about your hair. what do you currently love about your hair and what do you currently dislike about your hair?*
Tell me about your hair extension journey. Do you currently have some installed? What technique was done? Were they installed professionally? Add anything else you feel we should know at G Hair Lounge, (Type NA if you are not seeking to have hair extensions done)*
What do you currently dislike about your hair?
Was your previous color done professionally or at home with box color?*
When did you have your color done last?*
Please indicate the list of hair products you're currently using:
What are your top concerns or priorities for our sessions together?*
Every weekEvery 2 weeksEvery 3-4 weeksEvery 2 monthsEvery 2-6 monthsTwice a yearOnce a yearOther
Every dayEvery other dayTwice a weekOnce a weekOther
How long is your hair?*
Damage due to heatSplit endsBreakageFineCourseThickUnrulyCurlyWavyStraightHeavyDullOilyDryOther
Hair LossBald Spots (Alopecia)DandruffItchy scalpScalp irritationFlakingBreakageThinning
Are you currently taking any medications? If yes, please list them below. If not, leave it blank.
Have you been exposed to or been diagnosed with COVID-19 within the last year as this could potentially affect your hair color services
How did you hear about me?*
Select days that work best for your schedule
Date you are looking to get in on or before?

MonthDayYear
Date
Client's Name

First NameLast Name
Client's Phone Number

Area CodePhone Number
Client's Email Address
example@example.com
Occupation
Upload 2 photos of your hair- front and back- No filters and in natural shaded lighting (no direct sunlight please)*

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Upload up to 3 photos of your goal hair*

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THANK YOU!

Once I have reviewed your information, I will be reaching out to you to set up an appointment. You can expect to hear from me within 72 business hours of receiving this form.

Until an appointment is scheduled and confirmed you will be immediately added to my wait list and prioritized in the event a current client either cancels or reshedules their appointmnt.
Client Signature

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Date Signed

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Date
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DIGITAL CONSULTATION