Annastasia Salon Pre-Visit Survey
Please take a moment to sign our waivers and provide your hair history. This allows us to ensure we have enough time for the services requested. Color services are unique to the individual and we can't confirm we have the time to complete your desired results without this form completed in a timely manner.
Client's Name
*
First Name
Last Name
Stylist's Name
*
Pronouns
Please Select
She/Her
He/Him
They/Them
Prefer not to answer
Email Address
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Type of Service
*
Please Select
Hair cut
Curly Cut
Hair color
Hair Treatment
By signing this waiver form, I acknowledge and confirm the following:
*
I understand that if I don't follow my stylists recommended regimen the salon cannot guaranatee my chemical service.
I understand that the result of this chemical service may vary from one person to another.
I understand that guests are not allowed on the salon floor without an appointment, this includes children.
I understand Annastasia Salon's intention is to keep my hair protected and that my service provider might suggest multiple services to get my desired look in order to keep the integrity of my hair.
I understand the pricing online is the starting price. Pricing will vary based on the amount of color used during my service. My service provider can provide me with a more accurate range after my consultation.
I consent to the Salon photographing my services.
Yes
No
I consent to the Salon sharing the photographs to social media for marketing or testimonials.
Yes
No
Client's Signature
3 year hair history (at-home & in salon).
*
Have you box dyed or colored your hair at home?
*
Yes
No
Have you ever put Henna on your hair?
*
Yes
No
Has your hair been colored black in the past 3 years?
Yes
No
Do you have any medical conditions or take any medications that affect your hair?
Please attach photos of your current hair. (3 pictures in natural light: front, side, back)
*
Browse Files
We will not use these for anything other than consultation purposes.
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Color Inspiration Photo
*
Browse Files
Guests find photo's online or the salons instagram to show us what inspires them.
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Haircut Inspiration Photo
Browse Files
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Other Inspiration Photo
Browse Files
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Tell us what you love about these photos?
What is your Beauty Budget today?
How would you describe your hair? (Density, texture, length)
Any concerns?
Submit
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