New Guest Questionnaire 2022

1

First Name* This field is required.

2

Last Name* This field is required.

3

Email* This field is required.

example@example.com

4

Phone Number* This field is required.

Area Code

Phone Number

5

City, State* This field is required.

6

How'd you find Leah Nakata?* This field is required.

7

What's the name of your friend who referred you?

8

Are you ONLY looking to book a haircut?I currently do not accept any new "Haircut Only" guests. You must be getting a color done with your service in order to recieve a haircut/appointment.

YESNO

9

At this time, Leah is not accepting new Haircut Only guests. If you feel this may be a mistake, please email Leah directly at contact@leahnakatahair.com . If you'd like to get a color done, please continue with the application.

All color packages include a haircut and start at $170+

11

12

Based upon Leah's Service Menu, what Service Package are you thinking you may need?

Signature Full Head $235+

Signature Half Head $220+

Signature Face Frame $195+

Transformative/Corrective $350+

All Over Color $180+

13

Hair Density Examples

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How would you describe your hair density/thickness?

15

Hair Length Chart

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In the state that you wear it most often (Natural, Straightened, Smoothed, Curly etc.), How would you describe your hair length?

17

Your hair history within the last 3+ years.

I have colored my own hair.

I have not colored my hair in 3+ years.

I have gotten my hair colored professionally.

19

What are you looking to get done? Is there anything else you'd like to share?

20

Please Upload a Current Non Filtered Photo of your hair. Front facing or the back.Do not skip this part. If you have trouble uploading a photo, send them to 916-277-0868

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

21

Please Upload a Inspiration PhotoDo not skip this part. If you have trouble uploading a photo, send them to 916-277-0868

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

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