Digital Consultation Form

What is your full name?*

First NameLast Name

What is your email address? *

Please note, I will be reaching out by email to confirm your appointment

Do you give me permission to email you appointment information?

YesNo

Phone Number*

Please note, I will respond by text to confirm your appointment

Do you give me permission to text you appointment information?

YesNo

What is your mailing address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

What is your birthdate?

You're welcome to choose day and month only!

What is your Instagram Handle?

How did you hear about me?*

Tell us more about how you found us

What is the name of the client who referred you to my business?*

What is your budget for this requested appointment?*

This will help us determine what services to recommend

When is the last time you had your hair cut?*

When is the last time you had your hair colored?*

What services do you you generally receive currently?*

How would you describe your hair strand texture? Select as many as apply.*

How would you describe your hair density?*

Very thin/actively thinningThinMedium/averageThick

What services are you looking to book at our first appointment?

Tell me more about why you are requesting a color correction?*

Tell me more about your goals with your color service? What would be your ideal outcome?*

What days/times are you available? I will make every effort to get you in as soon as possible in line with the information you enter here. The more available you are, the faster we will be able to get you in.

Please upload 2-3 photos of your hair as it looks today. We would like to see it from the back and the front, unfiltered.*

Please upload 1-2 photos of your hair goals. You can find inspiration photos through google image search, Instagram, Pinterest or anywhere else you've seen hair you admire.

What is it about this hair that you love?*

Is there anything else I should know before booking your appointment?

By completing this form, I am submitting an appointment request and price quote inquiry. In response, I will receive an email/text with an appointment time and date option and a general price quote. Your appointment in salon will begin with a 15-minute full consultation to refine the plan for service. Generally, new guests are generally seen within 2-3 weeks of appointment submission request, but guests with limited availability may have to wait up to 6 weeks to be seen.

I understand that A Beautiful Chaos has a strict 48-hour cancellation policy and if I do cancel my appointment with less than 48 hour notice, I will be charged a cancellation fee of 50% of your scheduled services and will not be allowed to book another appointment until that cancellation fee is paid in full.

I understand that A Beautiful Chaos has a strict “No-Show” policy and if an appointment is "no-showed", 50% of the services cost missed will be due before you are able to reschedule

By clicking the submit button below, I agree to these terms.

A Beautiful Chaos Digital Consultation Form