Hi there!
I am so excited that you decided to let me into your hair journey! I just have a few questions to ensure that we are a good fit. This questionnaire is required before I can confirm your appointment request. Please complete the form below and I will be in touch via e-mail or text within 48 hours Tuesday through Friday.
Hi! I’m …
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First Name
Last Name
Phone Number
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Please enter a valid phone number.
Email
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example@example.com
How did you hear about me?
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Please Select
Instagram
Facebook
Referral/Word of mouth
My website
Google search
If a referral, give them a shout!
These days work best for me.
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Tuesday
Wednesday
Thursday
Friday
These times work best for me.
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9am-12pm
12pm-2pm
2pm-5pm
Anytime!
How soon do you want to come in?
Are you interested in the option of coming in on one of my days off or after salon hours at a premium rate? *Premium packages start at $250
Yes! I’d like to pay premium for a Monday
Yes! I’d like to pay premium for Friday afternoon
Yes! I’d like to pay premium for a Saturday
No thank you
Please include details of your hair history (ex: I usually get highlights, have my grey covered or I have been coloring it at home myself etc.)
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Please give me a brief description of your hair goals.
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Please include a current photo of your hair and any inspirational photos of the look you are going for.
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Any current challenges with your hair that need to be addressed?
What’s your secret guilty pleasure? (ex: reality tv, online shopping etc…)
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