Bex + Hair Consultation Form

BEX+HAIR

Welcome to the BEX+HAIR color Family and Bex can’t wait to meet you soon. All new guests start working with Bex here with a digital consultation form. This allows Bex to get to know you and your hair goals so that she can ensure your initial appointment is booked properly. Please complete the form in full and Bex will be in touch within 48 hours of your request during her work week which is Tuesday-Friday. All requests submitted Saturday-Monday will be responded to on Tuesday. If you have any questions or need support please email Bex at bgrey123@gmail.com
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
Phone Number*

Area CodePhone Number
What is your mailing address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about Bex?*
Where you referred by an existing client of Bex? *
When is the last time you had your hair colored?*

I've never colored my hairLess than 4 weeks ago1-2 months ago2-4 months ago4-6 months ago6 months+
What services do you you generally receive currently?*

HaircutChemical smoothing treatmentsHair extensionsGray coverage hair colorOverall hair color shift without gray coverageHi-lightsBalayage blondingBleaching/extensive blondingVivids color (fun color all over or in select areas)
What type of extensions have you worn most recently or are you wearing now?*

Micro-link weft applicationTape-In applicationBeaded applicationFusion applicationSewn-in applicationTemporary/clip-in extensionsUnsure of application methodNone
Do you currently have extensions installed in your hair?*

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

FineThickCourseSmoothRoughMainly straightWavy (type 2)Curly (type 3)Coily/Kinky (type 4)
How would you describe your hair density?*

Very thin/actively thinningThinMedium/averageThick
What services are you looking to book at our first appointment?

Chemical smoothing treatmentsHair extensionsGray coverage hair colorOverall hair color shift without gray coverageHi-lightsBalayage blondingBleaching/extensive blondingVivids color (fun color all over or in select areas)Color correctionOther
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 are you goals with hair extensions?*

I'd like my hair to be as long as possibleI'd like my hair to be a 2"-3" longer than it is nowI'd like my hair to 4"-6" longer than it is nowI'm looking to blend a haircut I'm growing outMy hair is thin and increasing density is a primary concern
What days/times are you available? Bex 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 she will be able to get you in.

Weekdays 9am-12pmWeekdays 12pm-4pmWeeknights 4pm-8pmWeekends 9am-12pmWeekends 12pm-4pmWeekend evenings 4pm-8pmI will make anything work, I just need to get in ASAP
Is there anything else Bex should know before booking your appointment?
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.*

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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.

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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 able to be seen within 2-6 weeks of appointment submission request, but guests with limited availability may have to wait up to 12 weeks to be seen. I understand that we have a strict 24 hour cancellation policy and if I do cancel my appointment with less than 24 hours notice, I may be banned from booking future appointments with Bex. By clicking the submit button below, I agree to these terms.
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