Appointment Request Form

1
Please Note* This field is required.This questionnaire will help Candayce O provide you with the best possible experience. All submitted information will be stored securely in your client file and will not be shared with third parties. After completing this questionnaire, you will receive an email with a scheduling link. If you do not receive the email directly into your inbox, please do check your spam and junk emails as it may have been placed there.
2
Full Name* This field is required.
First Name
Last Name
3
Phone* This field is required.
Area Code
Phone Number
4
E-mail* This field is required.
5
How did you find Candayce?* This field is required.
Please Select
Please Select
Instagram
Facebook
Google
Styleseat
Referral
6
How do you wear your hair 90% of the time ?* This field is required.
Please Select
Please Select
Sew in
Wigs
Braids
Natural Styles
Barber Cut
Relaxed and Style
7
Why did you choose Candayce to service you?* This field is required.
SPECIAL OCCASION
NEW TO CITY AND NEED A STYLIST
VISITING FROM OUT OF TOWN
HAIR IS DAMAGED
LOOKING FOR A CHANGE
SWITCHING STYLIST
STYLIST OUT OF TOWN
GOING FROM LONG TO SHORT
8
Check off all of the services you may think you need.* This field is required.
Big Chop
Haircut
Blonding
Barber Cut
Spot Relaxer
Virgin Relaxer
Conditioning Treatment
Relaxer Retouch
Side and Back Cut Only
Semi Permanent Color
9
What days work best for you?* This field is required.
Wednesday
Thursday
Friday
Saturday
10
What time works best for you?* This field is required.
Early Morning
Afternoon
11
Are you natural or Relaxed?* This field is required.
12
If you are natural do you want a relaxer with your service?* This field is required.
YESNO
13
When was your last Relaxer?
2 weeks
6 weeks
4 weeks
2 months or more
1 year
2 years or more
14
Are you looking for a permanent hair stylist ?
YESNO
15
Have you ever had a allergic reaction to hair color?
YESNO
16
Do you have any hairloss?
YESNO
17
If you have hairless or Breakage where is it located?* This field is required.
center of head
side hairline
front hairline
back nape
No Hairloss
18
Can you upload CURRENT pictures of the front and sides of you hair.* This field is required.ONLINE CONSULTATION
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
PHOTO OF YOUR HAIR MUST BE CURRENT. I AM LOOKING FOR HAIR HEALTH IN THESES PHOTOS. FAILURE TO FOLLOW INSTRUCTIONS WILL PREVENT YOU FROM GETTING A APPOINTMENT .
Cancelof
19
Can you upload a pictures of the Cut Color and Style you want * This field is required.ONLINE CONSULTATION
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
THIS IS IMPORTANT TO ME SO I CAN DETERMINE IF WHAT YOU ARE ASKING FOR IS CORRECT FOR YOUR HAIR
Cancelof
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How often do you get your hair done?* This field is required.
Weekly
Bi Weekly
Every 6 to 8 Weeks
I do my own hair
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Is there anything else you would like to share?
22
Have you or anybody you know been in contact with Covid 19.* This field is required.
Yes
No
Should be Empty: