Digital Consultation Form

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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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What services are you looking to have done with Paloma?* This field is required.Check ALL that apply.
Balayage
Cover gray roots
Highlights
Both Highlights and covering gray roots
All Over Coloring (one solid color roots to ends)
All Over Lightening (solid blonde roots to ends)
Color Correction/Transformation (examples include going from dark to light, transitioning from box color, completely different color from what you have now, unhappy with the results of your previous salon visit.)
Haircut ONLY, No color
I don't know what I need, I'd like a pre-visit in person consultation to help me decide.
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Thank you for requesting an in person consultation. You may stop this form here.

Please click the link below to book you NEW GUEST CONSULTATION online.

Book HERE: Book My Consultation
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Please note that Paloma only offers haircuts that are a bob length or longer. She does not offer clipper cuts, pixie cuts, wolf cuts, or any other very short haircuts.Do you wish to continue with the consultation form?
YESNO
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Thank you for requesting a Haircut only. You may stop this form here.

*Please Note: Paloma DOES NOT offer clipper cuts, pixies, wolf cuts, or any other very short haircuts. Your desired look must be Bob length or longer.

Please click the link below to book your appointment.

The session you want to book for is the TRIM & TREAT

Book HERE: Book my Haircut

*This link is not for color services. If you would like color services done please continue on with the form.
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Thank you so much for your submission and consideration to have Paloma Valentina as your hairstylist. It seems that the services you are looking for require a service that Paloma either does not offer or specialize in.

She recommends these other salons in the Whittier area for you to consider for any and all hair services.

Cielo Beauty Bar @cielobeautybar

6743 Greenleaf Ave suite b, Whittier, CA 90601

(562) 556-6099

https://cielobeautybar.com

Whittier Beauty Collective @whittierbeautycollective

6738 Greenleaf Ave, Whittier, CA 90601

(562) 755-0778

https://www.instagram.com/ whittierbeautycollective/

J.Anthony Salon @janthonysalon

6724 Bright Ave ste a, Whittier, CA 90601

(562) 698-0888

http://www.janthonyhairsalon.com

Thank you again for your consideration. Apologies for any inconvenience, and wishing you all the best on your hair journey.
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Describe your hair length?* This field is required.If you're in between go with the longer of the two.
Short (above the shoulders)
Medium (shoulder length)
Long (mid back)
Extra Long(low back and longer)
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Describe your hair texture* This field is required.Texture is the thickness of your hair strand.
Fine
Medium
Coarse
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Describe your hair density.* This field is required.Density refers to the amount of hair per square inch.
Light (Can see through the hair or see some scalp. Thin ponytail.)
Medium (average feel, not see through, medium sized ponytail)
High (very thick hair. heavy, fat ponytail.)
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What are your goals for this appointment? (READ below)* This field is required.Please show/tell me a bit more about your hair now, and the look you're hoping to achieve. VISUALS/PHOTOS ARE BEST FOR ME, If you're able to provide photos PLEASE do so. If you can not provide photos you may describe in words, but please be AS DETAILED as possible.
Upload PicturesDescribe my goals in words.
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Please upload a CURRENT photos of your hair in natural outdoor lighting. Indirect sunlight is best.I need to know what we're starting with in order to recommend the best plan to achieve your goal.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Please Upload 1-3 INSPIRATION photos of your Hair Goals.Keep in mind this is just for inspiration. Exact results are not guaranteed.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Describe what your hair looks like now AND the Look you are hoping to achieve at this appointment. PLEASE BE AS DETAILED AS POSSIBLE. Please be sure to include: - what your hair looks like now, - current color, - length, - thickness, - hair condition, etc. AND What you want it to look like at the end of the session. Color, Cut, Style, etc. If I have more questions I will reach out. If you've already uploaded photos you may skip this step.
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Small
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Ok
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Please share your previous hair color history.* This field is required.Check ALL that apply within the last year or two.
I've had it colored professionally. (In a salon)
I've colored my own hair. (includes color from: a box, the drugstore, Sally's, & local beauty supply)
It's been a year or more since I last had my hair colored.
I currently have a Fashion color (pink blue, purple, etc.)
I have never colored my hair before.
Other
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How do you want to FEEL at the end of this appointment with your new hair?Tell me everything. Nothing is off limits. I’m here to help make your dream hair a reality.
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Large
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Small
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Ok
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What is your ideal maintenance schedule?
4-6 weeks
8-10 weeks
3-4 times a year
1-2 times a year
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What are you currently struggling with when it comes to your hair?* This field is required.
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What are you currently struggling with when it comes to your hair?
Dry Hair
I have no style
Brassiness
I need something more low maintenance
camouflage my grays
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What are your main goals when it comes to your hair.* This field is required.
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Describe your current at home haircare regimen.* This field is required.Please include which shampoo, conditioner, and styling products you're currently using, your wash and styling routine, use of hot tools, and anything else you think I should know.
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Small
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How would you rate your satisfaction level with your current products/regimen.* This field is required.
IN LOVE! I wouldn't change a thing.
Its ok, but I am open to suggestions that will help me reach my goals.
Not satisfied, I need a change.
HELP! I have no idea what I'm doing.
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What is most important to you when it comes to your hair journey.Check ALL that apply.
The health and integrity of my hair.
The results of my cut and color.
Finding a stylist I can trust.
Finding a consistent at home care product regimen.
All of the above
Other
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How did you find me?
Instagram
Facebook
Google
Yelp
Advertisment
Referred by friend/family member
Other
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Who may I thank for referring you?
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Why are you looking for a new stylist?select ALL that apply.
I wanted a change.
I wasn't happy with my previous stylist.
My previous stylist moved/retired/left the industry.
I'm new to the area.
I'm looking for a salon closer to home.
I didn't feel special at my last salon.
I want a more personalized salon experience.
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Is there anything else you'd like to share?
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Upon submission, I will select the session that will best achieve your desired result. You will receive an email with the session name and the link to book your appointment online. If you do not receive the email please check your junk and spam folders.* This field is required.You can review the service menu and pricing at www.palomavalentinahair.com/services
I have read and understand the booking process.
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