New Client Request Form

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Name
First Name
Last Name
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First Name* This field is required.
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Last Name* This field is required.
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Email* This field is required.
example@example.com
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Phone Number* This field is required.
Please enter a valid phone number.
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How'd you find Jessica?* This field is required.
Instagram
Google
From a Friend
Facebook
Yelp
Local Business
Met in Person
Other
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Image Field
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Based on Jessica's menu, what service package are you thinking you may need? (A haircut may be added onto any color service at the time of booking for $100).* This field is required.
Curl Makeover ($350+)
The Refresh ($275+)
The Lighten + Brighten ($420+)
The Glow Up ($550+)
Curl Care & Styling Lesson ($200+, no haircut)
Curl Makeover & a color service ($400+)
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Do you believe you're ready to book now, or would you like Jessica's guidance on which service to pick?* This field is required.
I'm ready to book now.I'd like some more guidance.
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Image Field
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How would you describe your most prevalent curl pattern?* This field is required.
Wavy
Curly
Coily
Straight
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At this time, Jessica is only taking on new clients with naturally curly/wavy/coily hair. If this is you, please go back/continue with the application. If not and you need a recomendation for another stylist, please email Jessica directly at jessica@jessicafunk.com
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How would you describe your hair? Pick any and all that apply.* This field is required.Fine vs. coarse hair refers to characteristic of each strand, thin vs. thick refers to the density of all of your hair.
Fine
Coarse
Thin
Thick
Greasy
Dull
Limp
Unruly
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How long is your hair?* This field is required.
Short (above shoulders)
Medium (shoulders-upper back)
Long (mid-lower back)
Pixie/very short
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If you have thick and/or long hair and are booking a COLOR service, please choose the "Plus" option when requesting an appointment (e.g "The Lighten + Brighten Plus") to ensure we have enough time with each other!
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What kinds of products are you using? Pick any and all that apply.* This field is required.
Creams
Gels
Foams
Leave-ins
Oils
None
Shea Moisture
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Please discontinue use of Shea Moisture products leading up to your appointment. Shea Moisture can leave a very distinct buildup on the hair that could potentially prevent us from reaching your curl goals. If you need product recommendations in the meantime, please don't hesitate to reach out to jessica@jessicafunk.com. Thank you!
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In the past 5 years, have you had any of the following? Pick any and all that apply.* This field is required.
Salon Color
At home color
Salon highlights
Keratin/permanent straightening
Overtone
Henna
Hair lightening spray (Sun-In)
None
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No color services are guaranteed after the use of Overtone and/or Henna hair color due to potential volatile chemical reactions in the hair.
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How dark/what shade was your at-home color, and how many times was your hair colored with it?
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How often do you wash/restyle your hair?* This field is required.
Daily
Every other day
3x/week
2x/week or less
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Do you have a water softener at home?* This field is required.
Yes
No
Not sure
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Have you ever had an adverse reaction to hair color?
No
Yes
Other
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Please upload 2-3 images of your current hair. Please show front and side view of current hair. Indirect, natural light is best (by a window works great!).* This field is required.
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Please upload 2-3 images of your current hair. Please show front and side view of current hair. Indirect, natural light is best (by a window works great!).* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Please upload 2-3 images of a hair color that inspires what you'd like to possibly achieve (its okay if the curl pattern does not exactly match yours).
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Describe what you love about your hair!* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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Describe what you dislike about your hair.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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Describe what you'd generally like done to your hair and anything else you'd like to share.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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PLEASE READ CAREFULLY BEFORE SUBMITTING:

AFTER SUBMITTING THIS FORM, YOU WILL BE REDIRECTED TO THE ONLINE BOOKING SITE TO REQUEST A DATE/TIME FOR YOUR APPOINTMENT. SUBMITTING THIS FORM DOES NOT COMPLETE BOOKING REQUEST.

If the redirect does not work, your browser may be set to block pop-ups. You can access the link directly here. (PLEASE DON'T USE THIS LINK UNLESS YOU AREN'T REDIRECTED AFTER SUBMISSION)

BOOKING INSTRUCTIONS

Step 1: Once you're redirected to the booking site, you'll see a service menu. You will be booking under the category "NEW CLIENTS", which are the first services listed.

Step 2: Select the service(s) you want to book.

Step 3: Follow the prompts to book your appointment. If you are booking a color service and also would like your hair cut, PLEASE add "Add on Curly Haircut" as a second service to allow time.

You will not be charged until the time of your first appointment, in which you can use whatever payment method works best for you (Apple Pay, credit card, cash). You will receive an automated confirmation through email/SMS (depending on your preferences) once you've booked. THIS BOOKING IS A REQUEST AND WILL BE CONFIRMED/DENIED WITHIN 48 HOURS. IF YOU DID NOT RECEIVE ANY CONFIRMATION NOTIFICATIONS, YOUR BOOKING WAS NOT COMPLETED.

After booking, you'll receive an email with a required intake form to fill out at your earliest convenience.

If an incorrect service is booked, you will receive a follow up email with instructions on how to properly book. Appointment request is subject to change upon approval.

If your hair and/or services desired are not within Jessica's specialties, you may be denied an appointment (it's nothing personal!), and will receive some other salon recomendations in the area.

You'll also receive a few follow up emails from me with some more fun info, so make sure to add jessica@jessicafunk.com to your contacts to make sure you don't miss them.

Can't wait to see you soon!
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