CLIENT REQUEST FORM 🎀
Hi! I’m so glad you’re here. This form helps me get to know your hair history, goals, and lifestyle so I can plan the best possible experience for you. My work focuses on high-end, effortless color & the most undetectable and comfortable extension installs. Hair health is always at the forefront. Every service is intentional, customized, and designed to deliver results that look natural, but elevated. Please take your time filling this out. The more detail you share, the better I can prepare for your appointment and ensure we’re aligned before moving forward. This form is not mandatory before scheduling an appointment (although all extension services require a consultation prior to booking). I can’t wait to learn more about your hair and see you in my chair!
Name
First Name
Last Name
Phone Number:
 -
Area Code
Phone Number
E-mail
Instagram Handle (if applicable)
example: @gina.doesmyhair
How did you hear about me?
A friend or colleauge
Instagram
Facebook
Other Advertisement
What day of the week works best for you?
What time of day works best for you?
Morning
Afternoon
Evening
What services are you interested in scheduling?
When was the last time you had your hair colored or highlighted?
In the last 3 years have you, a friend or family member colored, lightened or chemically altered your hair outside of a professional salon?
Have you, a friend or family member applied store bought color or bleach (even for an event that washes out) in the last 3 years?
What are you currently *not* loving about your hair?
Choose the option that best describes your hair type:
Fine
Medium
Thick
Extremely Thick
Choose the option that best describes your hair texture:
Straight
Wavy
Curly
Coily (tight curls)
Do you currently have hair extensions (other than clip-in/halo)?
Yes I do
No I don't
Are you interested in hair extensions?
Yes
No
I have thought about them, but have questions!
Have you worn hair extensions before and if so, what type & how was your experience with them?
What type of change are you considering with your hair?
Minimal, only maintenance
Maintain with minor change
I'm ready for a MAJOR change
Please upload ONE photo of your hair [facing the camera] in natural lighting [sunlight is preferred].
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Please upload ONE photo of your hair from the side [looking over your shoulder also in natural lighting]. This allows us to see the back of your hair.
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Please upload ONE inspo photo that would be an end goal for you!
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I understand that my overall goal may not be achieved in one session depending on what needs to be changed or corrected.
Yes, I understand.
I understand that some services requested may require an in-person consultation to chat through the best plan of action for my end goal. This appointment is 30-45 minutes and costs $50. Pricing for services (especially extensions) is customizable dependent on method needed to achieve overall goal.
Yes, I understand.
Cancellation Policy- All cancellations made within 24 hours of the scheduled appointment time are subject to a 50% charge of the service total. Extension deposits are also non-refundable if canceled outside of this window. All "no-show" appointments will be charged 100% of the service total. If you are 15+ minutes late to your appointment, this may result in a reschedule or change of service to accommodate other guests.
I have read and understand The Cancellation Policy
Refund Policy - I understand there is a grace period to return back to Gina for any adjustments if unhappy with my service. A refund may ultimately be warranted and any refunds will be decided by discretion and on a case by case basis.
I have read and understand The Refund Policy
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