You can always press Enter⏎ to continue
Welcome
Hi there, please fill out and submit this form.
18
Questions
START
1
Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Phone Number
*
This field is required.
Please enter a valid phone number.
Previous
Next
Submit
Press
Enter
3
Email
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
4
Instagram Handle
@birdandbellesalon
Previous
Next
Submit
Press
Enter
5
Are you looking for a specific stylist?
*
This field is required.
Jessica
Eileen
Tiffany
Melanie
Deb
Lisa
Tatiana
Emma
No preference
Jessica
Eileen
Tiffany
Melanie
Deb
Lisa
Tatiana
Emma
No preference
Previous
Next
Submit
Press
Enter
6
Preferred appointment time?
*
This field is required.
Morning
Afternoon
Evening
Weekend
Morning
Afternoon
Evening
Weekend
Previous
Next
Submit
Press
Enter
7
Preferred appointment day?
*
This field is required.
Saturday
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Previous
Next
Submit
Press
Enter
8
When would you like to come in?
*
This field is required.
This Week
Next few weeks
This month
Next few months
ASAP
This Week
Next few weeks
This month
Next few months
ASAP
Previous
Next
Submit
Press
Enter
9
Let us know your budget
*
This field is required.
less than $200
$200-$300
$300-$400
$400-$500
No Budget
less than $200
$200-$300
$300-$400
$400-$500
No Budget
Previous
Next
Submit
Press
Enter
10
When was the last time you've had your hair professionally done?
*
This field is required.
4-8 weeks
8-10 weeks
10-12 weeks
12+ weeks
Never
4-8 weeks
8-10 weeks
10-12 weeks
12+ weeks
Never
Previous
Next
Submit
Press
Enter
11
What Professional Color services have you had in the last 2 years?
*
This field is required.
permanent, demi-permanent, semi-permanent color. Highlights, balayage or vivid color
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
12
What Non-Professional color services have you had in the last 2 years?
Box color, henna, splat, manic panic, Sun In etc...
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
13
Please select all options that fit your hair
Fine
Medium
Coarse
Thin
Thick
Straight
Wavy
Curly
Kinky/Coiled
Dry
Oily
Damaged
Limp
Heavy
Flaky
Previous
Next
Submit
Press
Enter
14
How Long is your hair?
Short: Pixie-Chin Length
Medium: Chin-Shoulder Length
Long: Shoulder-Mid Back Length
Extra Long: Past Mid Back
Previous
Next
Submit
Press
Enter
15
What do you love about your hair?
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
16
What do you hope to change about your hair?
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
17
Submit a picture of your current hair
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Cancel
of
Previous
Next
Submit
Press
Enter
18
Please submit a picture of you hair inspo! No dreams are too big!
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Cancel
of
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
18
See All
Go Back
Submit