New Guest Questionnaire

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number

Area Code

Phone Number

4

City, State

5

How'd you find Roxy Bunce?

6

What's the name of your friend who referred you?

7

Are you ONLY looking to book a haircut?Currently do not accept any new "Haircut Only" guests. You must be getting a color done with your service in order to receive a haircut/appointment.

YESNO

8

At this time, Roxy is not accepting new Haircut Only guests. If you feel this may be a mistake, please email Roxy directly at roxy.hair@gmail.com. If you'd like to get a color done, please continue with the application.

All color packages include a haircut and start at $200+

10

11

Based upon Roxy's Service Menu, what Service Package are you thinking you may need?

The Revamp $200+

The Works $400+

The Transformation $240+

The Life Changer $250+

12

Hair Density Examples

13

How would you describe your hair density/thickness?

14

Hair Length Chart

15

In the state that you wear it most often (Natural, Straightened, Smoothed, Curly etc.), How would you describe your hair length?

16

Your hair history within the last 3+ years.

I have colored my own hair.

I have not colored my hair in 3+ years.

I have gotten my hair colored professionally.

18

Please upload 2 pictures of your current hair (front and back) in natural lighting.* This field is required.Avoid direct sunlight or dark rooms.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

19

Please share 2-3 Inspiration Pictures.* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

20

What are you looking to get done? Is there anything else you'd like to share?

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Save your progress

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