New Guest Inquiry for Haircut

1
Name* This field is required.
First Name
Last Name
2
Phone Number* This field is required.
Please enter a valid phone number.
3
Email* This field is required.
example@example.com
4
What is the best way to contact you?* This field is required.
Text
Email
Phone Call
5
When is your birthday?
Date
Year
Month
Day
6
What are you currently struggling with the most?* This field is required.
Finding my signature haircut
Dry hair
Chemical damage
Dry scalp
Hair loss or thinning hair
Frizzy hair
Lack of volume
Oily or greasy hair
Dandruff
Split ends
Dull hair or lack of shine
Heat damage
Gray hair
Styling my hair
Using products
Scalp Therapy
Scalp Massage
Nothing, I’m happy with it!
7
Please select ALL the services you may need* This field is required.
Extra Short Wash and Style
Extra Short Haircut
Short Wash and Style
Short Haircut
Medium Wash and Style
Medium Haircut
Long Wash and Style
Long Haircut
Extra Long Wash and Style
Extra Long Haircut
Consultation
Styling Lesson
Corrective Haircut
Scalp Care Treatments
Hair Care Treatments
Self Care Treatments
Formal Styling
8
How often would you like to maintain your hair?* This field is required.
Once every 2 weeks
Once every month
Once every 2 months
Once every 3 months
Once every 6 months
9
Current Hair Uploads* This field is required. Please upload 2 - 4 current pictures of your hair in the most natural lightening possible. No filters. Please note - all images uploaded are kept secure, confidential and private to A Signature Salon employees only. We require this to better understand how we can achieve your goals.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
10
Inspiration Hair Uploads* This field is required.Please upload any images that you LOVE and would like your hair to look like.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
11
Is there a stylist you prefer to see?* This field is required.Please take a moment to visit our website and check out the "About Us" section. You'll find profiles of each stylist, detailing their specialties. If you're unsure or would like our experts to assist you in finding the right match, simply select "No Preference." We're here to make sure your salon visit is tailored to your needs and preferences.
Please Select
Please Select
Alanna Holy
Briley Blackman
Courtney Fisher
Melanie Pace
No Preference
12
What days and times are you available?* This field is required.Please select all that apply
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
8am - 12pm
12pm - 4pm
After 4pm
I am flexible
13
What is your budget for this service? * This field is required.Remember, first time appointments tend to be higher priced than a maintenance appointment. We are happy to work with your budget to meet your goals efficiently, effectively, and with integrity.
$50 - $100
$101 - $200
$201 - $300
I have no budget, I just want to achieve my goal right away
14
Is there anything else you’d like your stylist to know?
Huge
Large
Normal
Small
Ok
Ok
15
How did you hear about us or find us?* This field is required.
Should be Empty: