Appointment Request Form For Haircolor & Blonding

Appointment Request Form For Haircolor & Blonding

I’m excited to see your interested in becoming part of my hair tribe! I’ve created this initial color consultation as a quick way to analyze your current hair and hair inspiration to help me schedule what service option would be best suited for you! After completing this form you’ll hear back from with 24-48 hours. I will send you a quick overview of which service option is right for you! If you would like a more in depth analysis of the service we will discuss this via email. Now if your ready let’s get started!
Name

First Name Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
How did you hear about me?
When was you last Haircolor? Please include anything done at home.

1-2 months ago 3-4 months ago 5+ months ago I’ve never colored my hair
What have you done chemically to your hair in the past 3 years?
Have your colors been done professionally or with box dye?
How would you describe your hair quantity?

Fine Medium Coarse Thin Thick
How would you describe your hair texture?

Straight Wavy Curly
Fo you presently have any hair or scalp issues?

Thinning Bald spots Scalp irritation Flaking Breakage None of the above
What do you currently love about your hair?
What do you currently dislike about your hair?
How often are you willing to come back to the salon for maintenance?
How much time can you commit to your hair color sessions?

1-2 hours 3-4 hours I’m fine with however long it takes
Please select all you are wanting to get done

Go lighter Go darker Add dimension Balance uneven haircolor Gray coverage Go cooler/ashier Go warmer/richer golden color
Date your reaching to get in or by?

Month Day Year
Date
Upload 2 picture of Front & Back ( no filters, no direct sunlight) natural shaded light.

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Upload 3 pictures of your hair inspiration

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I understand that this is a general consultation form designed so Nancy can help me choose what option is best suited for me.

I understand that if I desire a more thorough explanation of the coloring process or a detailed analysis I would need a in person consultation.

I understand that by submitting this for does not guarantee that my hair goal can be achieved in one session.

I understand that by submitting this for does not mean I have an appointment booked.

I understand understand that the average wait time to get on the schedule is about 3-6 weeks.

I understand that the initial average investment ranges from $130-$260+
Signature

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