New Client Intake Form

New Client Intake form

Thank you for your Interest in being a model for our Protégé program. This is a hands on learning experience for our assistants who are training under the direct supervision of an experienced educator.
Full Name*

First NameLast Name
Phone*
E-mail*
example@example.com
How did you hear about Izabela Salon?*

GoogleFriendFacebookInstagramother
How often do you get your hair done ?*

regularly 8 to 10 weeksonce a yearevery 3 to 6 monthsnever have time for myselfOther
Which one of the following Best describes your hair density?*

Fine/thinFine, but a lot of itMedium/ averageCoarse/thick
Which one of the following Best describes the amount of hair you have?*

Very littleMediumThickSuper Thick
Which one of the following Best describes your hair texture?*

StraightwavyStraight but fizzywavy and frizzyCurly
Is your hair currently longer then shoulder length?*

yesno
Is your hair currently colored?*

YesNo
Are you looking to change your hair color completely, or stay with what you have today?*

Radically change my colorstay with what I have, with minor adjustments
Which one best describes your hair condition?*

healthy overallhealthy with some slight signs of dryness at the endsslightly compromised, damaged from past hair situationover processed/broken
Which stylist would you like to work with?*

Kerry-LeeAngelinaI’m happy with either stylist!
Which stylist would you like to work with?*

Kerry-LeeAngelinaI’m happy with either stylist!
Show me your current hair

Follow the instructions below and upload photos of your current hair on the next steps.

This is the final stage of the consultation and the most important.

Must be photos of your current hair.
Use your Cell phone .
Have someone else take the photo for you
Take in natural lighting indoors (no flashes or direct sunlight)
You will take photos - Front and Back.
Upload your FRONT PHOTO*

Cancelof
Upload your BACK PHOTO *

Cancelof
Upload your desired look/ INSPIRATION PHOTO *

Cancelof
Do you understand the conditions and that the service will be preformed by an apprentice under the guidance of a license educator, are you ready to proceed with your booking appointment?

YES! Can't wait to sit in your chair and have the hair of my dreams!NO. I cannot make the commitment at this time.
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New Client Intake form