Pre-Consultation
Thank you for taking a few moments to fill out this form. This will help give us a better idea of what your hair color goals are and how we can get you to those goals. Once completed our staff will contact you, please allow 24-48 hours
Date
-
Month
-
Day
Year
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
Please enter a valid email
How did you hear about us?
How would you like us to contact you?
Please Select
Text
Call
Which services are you interested in?
Please Select
Haircuts
Color & Cuts
Treatments
Skin Care
Check all days/times that work for you? (Assuming first time color appointment varies from 2-4 hours on average)
Morning
Afternoon
Evening
Monday
9am-5pm
Tuesday
11am-8pm
Wednesday
9am-5pm
Thursday
11am-8pm
Friday
9am-5pm
Saturday
9am-3pm
Please upload a current picture of your hair. Indirect lighting is best front and back if possible.
*
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Current Picture
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Please upload an inspiration/goal picture.
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Goal Picture
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When was your last color?
1-2 months ago
3-4 months ago
4-6 months ago
7+ months
Other
How long has it been since you last used over the counter "box" dye?
Never
3 months
6 months
12+months
Other
How would you describe your hair? Name as many as you'd like.
Short
Medium
Long
Fine
Thick
Coarse
Curly
Dull
Dry
Limp/flat
Healthy
Damaged
Other
Have you had any of the following; bleach, corrective color, or perm/ relaxer or henna within the past two years?
Have you had a keratin treatment in the last year?
Do you have well water at home or at school?
Do you have any allergies we should be aware of?
To the best of my knowledge, I am not showing any signs of sickness including: cough, fever, tiredness, difficulty breathing.
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