New Client Form
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
When is the best time to reach you?
*
How did you hear about us?
Facebook
Twitter
Instagram
YouTube
Online Advertisement
Google Search
Referred by a friend
Website
Other
Friend that referred you or ‘Other’
What processes/services do you do or receive currently? Or in the past 6 months.
*
Professional color
Box color
Relaxer
Perm
Keratin treatment
None
Extensions
Brazilian Blowout
Other
Other:
Services Desired
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Color
Cut & Style
Special or event Styling
Makeup
Extensions
When was your last hair service or process? What service did you receive? (Ex:!Color, Keratin treatment, etc.)
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Tell us about your current hair routine
*
How often do you wash? Do you use hot tools or a blow dryer& how often?
What do you love/like about your hair?
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What are the things you don't like about your hair or are looking to change/improve?
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Length, health, etc
What products are you using on your hair/Skin? (Shampoo, masks, moisturizers)
*
Do you have any ingredient allergies?
*
Nut oils, coconut milk, fruit extract
Would you like to receive updates from our salon via email?
Yes
No
Upload pictures of your current hair and pictures of styles or colors similar to your goals or Makeup look inspiration pictures.
*
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Day
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