New Guest Consultation Form

1
First Name
2
Last Name
3
What is your email address?Please note, we will be reaching out by email for your next steps
example@example.com
4
Phone NumberPlease note, we will send important text updates and appointment confirmations
Area Code
Phone Number
5
What is your Instagram Handle?
#kolourbydesign
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Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
7
How'd you find Kolour By Design?
Instagram
Facebook
Google
Yelp
Local Business
Met in Person
Referral from Friend
Social Media
8
What's the name of your friend who referred you?
9
What services do you typically receive as of most recently? (select all that apply)
Haircut
Grey Coverage
Balayage
Highlights
All Over Lightening
All Over Darkening
Shadow Root
Lowlights
Conditioning Treatment
Toner
Hair Extensions
I really don't know
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What type of hair extensions do you get?(select all that apply)
Fusion
Micro bead
Handtied wefts
Tape
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Would you like to learn (more) about hair extensions and all the possibilities?Volume, length, thickness, no commitment color, partial applications, additional hair health, growing out a bad cut and more!
Sure! I'd like to learn more!Not today, thank you though!
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Hair Extension Service Menu
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When is the last time you had your hair colored?
I have never colored my hair
Less than 4 weeks ago
1-2 months ago
2-4 months ago
4-6 months ago
6 months+
14
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.
Other
15
What hair color/product did you use? Please Check all that apply.
From Sally's Beauty Supply
From Online
From Drugstore/Grocery Store
Box Dye
Splat
Overtone
Temporary Hair Color Rinse
Other
16
What services are you looking to book at your first appointment?Check all that apply
Haircut only
Extensions and / or Color Consultation with a Haircut
Haircut with Color Appointment
Hair Extension Consultation
Conditioning Treatment
Root Refresh (less than 2" outgrowth
All over Hair Darkening
Gray Blending with Highlights
Partial Highlights ( face framing, top and sides)
Full Head Highlights
Balayage
All over lightening
Corrective Color
Platinum Retouch
Other
17
How would you describe your hair density?How many hairs per square inch
Very thin / actively thinning
Thin or low density
Medium / Average
Thick
18
How would you describe your natural hair strands? Select as many as apply.
Fine
Medium
Thick
Course
Stick Straight
Mostly Straight
Wavy
Curly
19
Based on the state you wear your hair most often (natural, straightened, curly, smooth, etc.) What is your hair length?
Short (above the collar)
Medium (between collar and shoulders)
Long (between shoulders and mid back)
Extra Long (longer than mid back)
20
Please upload current pictures (ask a buddy for help) of your hair that are:

well illuminated (no dark shadows)

no bathroom pics

no flash

in natural daylight

no filters

NOTE: your pictures help us ensure you are booked for the proper service and the best stylist for that service. If you can not upload photos we recommend you come in for an in-person consultaion. (this may take longer to get an appointment)
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Front* This field is required.
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Back* This field is required.
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Side* This field is required.
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Roots* This field is required.
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Almost done....Please now upload some ispiration pics (no filters):

Please note that these images serve as inspiration. We encourage an open mind as no two heads of hair will ever look the same nor is the color/chemical history the same.
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Inspiration Pic 1* This field is required.
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Inspiration Pic 2
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New Guest Service Menu
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Image Field
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Image Field
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Based upon KBD's Service Menu, what Service Package are you thinking you may need?
Refresh Me
Sun Kiss Me
Brighten Me
Transform Me
Bronde Me
Edit Me (Shelley only)
Brazilian Blowout
Extensions Consultation
Other
32
Is there a specific stylist you'd like to see?
Shelley
Brittany
Lisa
No preference
33
Tell us more about your hair goals? What are you hoping to achieve? Is there anything else we should know?
Huge
Large
Normal
Small
Ok
Ok
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