New Client Questionnaire

New Client Questionnaire

Submissions will be responded to Tuesday-Friday. Please allow up to 72 hours for response.
Name

First NameLast Name
Preferred Pronouns

Her/SheHim/HeThey/Them
Email
example@example.com
Phone Number
Please enter a valid phone number.
Birthday

MonthDayYear
Date
Instagram Handle
What Service are you looking for? (May select more than 1)

Color and/or Blonding Service - $105/hrColor and/or Blonding Service + Haircut - $105/hrHaircut - $75 (allot 1 hour)Transformation Haircut - $105 (allot 1 1/2 hours)Event Styling - $65 (additional fees may apply)
How did you hear about me?

InstagramTikTokFacebookFriend/Family Member
If by Friend/Family Member, please provide their name so I may show my appreciation.
Has your hair been chemically treated in the last three years?

YesNo
If yes, please list everything that has been done in the last three years. The more know, the better. (This includes any color masks done at home as well)
Do you have Gray?

Yes, please cover them.Yes, but I don’t mind them.NoN/A
What is your maintenance schedule?

3-5 weeks6-9 weeks12 weeksOnce a year
Do you have a filtered shower head?
Please provide a picture of your current hair (front and back). Please no filters.

Cancelof
When you look at your hair now, what are you liking.
Please provide an inspiration picture(s).

Cancelof
What is it that you love about the inspiration photo(s). Please be as detailed as possible.
Please tell me what your weekly routine consist of and products you are using. (Ex: How often are you washing? Are you doing a weekly mask? Shampoo, conditioner, blow drying, curling, etc.)
I love to take pictures and videos for your viewing and to help build my business. Are you open to being on camera?
What time of day works best for you?

9am-12pm12pm-4pm
What day(s) work best for you?

WednesdayThursdayFriday
Please provide any medication that you may be on that may cause hair loss or resistance to color.
Have you had surgery, within the last 4 months, that anesthesia was required?

YesNo
Upon review additional consultative questions may be needed via Zoom/FaceTime/Messenger. This also helps with agreeing upon timing and budget for day of. Which works best for you?
Please review and sign Policy Agreement.

Got it!
Thank your so much for taking the time to complete this questionnaire. Please allow up to 72 hours for a response. Response will come to your email as that is the bet way for me to keep things organized..

Office Hours are Tuesday 9am-5pm. Behind the chair hours are Wednesday-Friday from 8am-4pm, away from the salon 5pm-8am, and off Saturday-Monday.
Signature

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