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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
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6
Email
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example@example.com
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7
What services are you interested in
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Based on your answers a more service specific form maybe sent
Haircut
Color
Specialized for Curly Hair
Repair, Restore, Nourishing
Virtual Coaching Call
Extensions
Special Event Hair
Makeup services
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8
What is the best form of contact and time of day to reach you?
Ex. Email, or text , and Morning (8am-12-pm), afternoon (12pm-4pm), or evening (4pm-7pm)
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9
Are you taking medication for any of the following types of medications?
This is not a comprehensive list, just the most common medications that affect hair processes.
Anxiety
Chemotherapy
Acne
Thyroid
Heart failure
High blood pressure
Cholesterol
Pulmonary Conditions
Psoriasis
Arthritis
Antibiotics
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10
I understand that some medication can affect the outcome of hair services. I also understand that it is my responsibility to know th possible side effects of my medication.
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NO
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11
Any other information about your hair that you’d like to share?
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12
I understand that not providing a complete and thorough hair history could result in serious damage to my hair.
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I will not hold Beautifully You or Stacey Prescott liable if I chose to proceed with a hair service knowing the risks involved from both my hair history and medications.
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14
If you were referred to Beautifully You Salon, who referred you?
I would love to give them a referral reward.
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15
For All curly cuts hair MUST be worn down in its natural curl. It must be detangled. You are welcome to use light products but no heavy products.
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16
I understand that all New Clients must have a consultation virtually or in person before booking a service appointment. The appointment can be booked at
https://beautifully-you-101824.square.site/
.
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17
Beautifully You offers a luxury personal experience and I understand that children are only allowed in the salon during appointments when they are receiving services. If at anytime the child should endanger themselves or the stylist, service will stop and be rescheduled at a later time.
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18
I understand that if any adjustments are needed to my hair after my appointment, I have 7 days from the date of the appointment to notify Beautifully You Salon. Small adjustments are complementary but complete style changes will be charged at the full rate. Beautifully You Salon does not offer the option of a refund.
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19
If I am booking a Virtual Coaching Call, I understand that I will be sent an invoice via email or text that must be paid before the service for a booking fee. This is non-refundable and in the case of a late reschedule (at least 48 hours before service) will be applied to my next appointment. In the case of no-show (being late 15 or more minutes) the booking fee will not be returned in any amount nor applied to future services.
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20
I give consent for pictures to be taken during my appointment and used by Stacey Prescott and Beautifully You Salon in marketing and promotion. Any photo containing my face will be sent to me for approval before use and I have the option to ask for my face to be covered.
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21
I understand that I may reschedule or cancel my appointment up to 48 hours before it is scheduled. If I reschedule or cancel or do not show up to my appointment after that, I will be assessed 50% of the worth of my booked appointment. The no-show fee will be assessed 15 minutes after the appointment should have started. In the event of a late reschedule the fee will be applied toward the service for the rescheduled appointment. I may only reschedule the same appointment once for this to apply.
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