New Guest Intake Form

New Guest Intake Form

Welcome, we are so glad you are here!
Name *

First Name Last Name
Are you over the age of 18? *

Yes No
Email *
example@example.com
Phone Number *
Please enter a valid phone number.
What is your hair type? *

Straight Wavy Curly
What is your hair texture? *

Fine Medium Coarse Damaged
Do you currently wear extensions? *

Yes No
For your cut, are you looking for: *

Just a trim & slight reshaping 2-3 inches off & reshaping a dramatic change
Is your hair currently above your collarbone? *

Yes No
If yes, please describe your general shape:
Do you have any grey hair you want covered? *

A little A lot None
In the last 5 years, has your hair had: *

Box dye Black Red or burgundy Covered highlights with dark None
Are you wanting a dramatic color change? *

Yes No
What is your hair's integrity like currently? *

Healthy Some damage Severe damage
Please tell us anything else you feel is important for us to know about your hair's health history:
Please upload photos of the front & back of your hair. This helps us to better assess desired outcome:

Cancel of
Please upload any inspiration pictures that you have:

Cancel of
*At The Lotus Room, we are session artists. What this means is, that we charge for the time we spend together. This form helps us to get to know your hair a little before we start working together so that we may give you appropriate time quotes and steps needed to achieve your hair goals. But, it’s one flat hourly rate! Whatever you and your stylist get done in the time allotted is all included. Even gratuity! (That’s right, we’re gratuity free at The Lotus Room.)

* Each stylist has their own individual rate based on demand, skill set, and speed. Our industry has become very detailed and customized in the routes we take to achieve finished looks, and this simplifies it. We do not rush or slow down as needed, we are creating wearable art for you!
Do you have a preferred stylist in mind?

Alisha @alishapricehairart /$100 Brittany @brittany_doesmyhair /$90 Christine @loveee_christineee /$100 Alexa @alexajo_hairstylist /$100 Taylor @taylortastic /$80 Sophie @hairvandalizer /$40 Becca @raising_riffraff /$200
If no preferred stylist, do you have a preferred price point?

Under $80 $80-$100 $100-$150 $150 +
Which services are you looking to book: *

Root color Highlights Balyage Vivid color Cut Blowout/Style Smoothing treatment Scalp treatment Extensions - please fill out our extension form
Please let us know days/times that you are available, and if you would like to get in as soon as possible *
How did you hear about us? *
Would you like to be included in receiving special offers & announcements? *

Opt in Opt out
Please understand this is a part of the consultation process, and allow up to 48 hours for us to review and respond. *
Initials here
Should be Empty:

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