Blusherie Digital Color Consultation

1
Your Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Cell Phone Number* This field is required.
Area Code
Phone Number
4
How did you find Michaun @ Blusherie Hair Co?* This field is required.
Instagram
Facebook
Google
Referred from a Friend
Met in Person
Social Media
Other Stylist
5
What is the name of your friend/other stylist who referred you?
6
When was your last color service in the SALON?* This field is required.
Less than one month ago
1-2 months ago
2-4 months ago
4-6 months ago
6-12 months ago
1-2 years ago
2+ years ago
I've never had my hair colored at a salon
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When was the last time you used BOX COLOR?* This field is required.
Less than one month ago
1-2 months ago
2-4 months ago
4-6 months ago
6-12 months ago
1-2 years ago
2-3 years ago
3-5 years ago
5+ years ago
I've never used box color
8
Which best describes your NATURAL hair?* This field is required.Please select all that apply.
Light (Blonde)
Medium (Dark Blonde/Light Brown)
Dark (Brown or Black)
Gray - I've got A LOT of gray hair
Gray - I've got a decent amount of gray hair
Gray - I've got a little bit of gray hair
9
Which best describes your CURRENT haircolor?* This field is required.Please select all that apply.
I'm all natural - virgin hair
I'm platinum blonde
I'm pretty blonde
I have about an equal amount of light and dark
My hair is a medium brown
My hair is a dark brown
Brunette - I have some medium brown or caramel highlights
Brunette - I have some blonde highlights
My hair is black
My hair is red
I have vivid/unicorn colors
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Please check all of the services you think you might need.* This field is required.Please select all that apply.
Gray Coverage
Balayage
Highlights
All over darkening
All over lightening
Haircut
Color Correction
Lowlights
Conditioning Treatment
Product Recommendations
Toner
Styling Lessons
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How much time can you commit to your first color session?* This field is required.
Up to 90 Minutes
Up to 2 Hours
Up to 3 Hours
Up to 4 Hours
I have no time restraints. However long you need to achieve my dream hair!
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How often do you like to maintain your haircolor* This field is required.
Every 3-4 Weeks
Every 5-6 Weeks
Every 6-8 Weeks
Every 10-12 Weeks
About 3 times per year
About 2 times per year
About once a year
1+ Year
I'm just looking to make one appointment
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Which is most important to you?* This field is required.
Achieving my goal as quickly as possible
Maintaining the health/length of my hair
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Is there a specific date you want in on or before?* This field is required.
15
In order to best serve you, I may need to see some photos of your current hair along with some hair inspiration photos to get you scheduled with the appropriate service/time without overcharging you.* This field is required.
I understand
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What does your hair look like currently?
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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What are your inspiration photos?
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Anything else you want me to know?
Huge
Large
Normal
Small
Ok
Ok
19
Cancellation Policy* This field is required.I do require 24 hours notice should you need to cancel or reschedule your appointment. If you cancel with less than 24 hours notice, a 30% service fee will be charged. I understand life happens but last minute changes leave no room to allow replacement bookings. I realize that we do see heavy weather here, however my cancellation policy does still stand unless the major highways are closed or schools are cancelled then I will waive the cancellation fee.
I agree
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Signature* This field is required.I agree to all terms listed above.
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