Customer Details:
Full Name
*
First Name
Last Name
What are your pronouns? (Select all that apply)
*
She/Her
He/Him
They/Them
Other
Phone Number
*
E-mail
*
example@example.com
Referred by:
*
Do you have any skin allergies?
*
Yes
No
If you answered yes, please list all allergies
Have you colored your hair in the past 3 years?
*
Yes, at home!
Yes, at a salon!
No, not at all!
I used semi permanent or henna!
What is your budget for hair color services?
*
$150-$200
$200-$250
$250-$350
$350+
How would you describe your hair texture and condition?
*
Curly
Wavy
Straight
Healthy
Damaged
Dry
Oily
What are your hair goals? Let us know what you’re looking for!
*
Submit
Should be Empty: