New Guest Consultation Form

Full Name *

First Name Last Name

Phone *

Area Code Phone Number

E-mail *

What days work best for you? *

Monday Wednesday Thursday Friday Saturday

What time works best for you? *

Morning Afternoon

Any specific date/time? *

Month Day Year Hour Minutes AM/PM Option

Upload an image of your current hair (front, back, side) in natural lighting with no filters or artificial lighting *

Browse Files

You can upload multiple files here

Upload only 2 images of your hair inspiration. *

Browse Files

You can upload multiple files here

What are you interested in having done to your hair? *

Going Lighter Going Darker Extensions Color & Extensions Haircut Styling or Treatment

What services are you interested in? You can explain more into detail here what you would like to have done to your hair. *

How long has it been since the last time you had your hair done? *

How often do you want to come into the salon for services? *

Every 2 months Every 3-4 months Once a year Twice a year

Do you have a budget? *

Yes No

If so, please tell me below so I can make sure I can give you realistic expectations, or perhaps refer another stylist to you. *

Have you had any box dye or permanent color applied to your hair within the past 4 years? *

I have done box dye I have done box dye & permanent color I haven't had box dye or permanent color to my hair, but I have had it lightened I have virgin hair

What is your 4 year hair history? Please list below EVERYTHING that has been done to your hair within the past 4 years, and the timing of when everything was done as well. Also please state what was done professionally in a salon, and if anything was done at home color wise. Be as detailed as possible with this! *

What products are you currently using at home? This goes for Shampoo & Conditioner, and any leave in or styling products, and are they professional products or drugstore. Please list what you use and the name of it as well. *

How often do you shampoo and condition your hair? *

Every day Every other day Twice a week Once a week

Do you use heat protection when you style your hair? *

Yes No

What is the current condition of your hair? *

Damage due to heat Breakage Split ends Hair is dry Hair loss Dry scalp Hair is pretty healthy

How did you hear about me? *

Instagram Facebook Google search Referred by a friend

If referred, I'd love to know who sent you!

Any additional comments, concerns, or questions?