New Guest Questionnaire 2022

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number* This field is required.

Area Code

Phone Number

4

City, State* This field is required.

5

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

6

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

7

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

8

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+

10

11

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

The Refresh $220+

The Maintain $280+

The Big One $340+

12

Hair Density Examples

13

How would you describe your hair density/thickness?

14

Hair Length Chart

15

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

16

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.

18

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

19

Please Upload a Current Non Filtered Photo of your hair. Front facing or the back.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

20

Please Upload a Inspiration Photo

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

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