New Client Intake Form

New Guest Intake Form

Welcome! I am so excited to have the opportunity to get you in my chair. Please take a moment to answer a few questions, so I can better prepare for when I reach out to answer any questions you might have.
How did you hear about Hair By Meissa LaFollette *

Facebook Instagram Google Search Referred by a friend
Full Name *

First Name Last Name
Date of Birth *

Month Day Year
Date
Phone Number *

Area Code Phone Number
Email Address *
example@example.com
Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
What is your Instagram handle? (Don't worry! I just want to tag your new hair later) *
Which location are you interested in booking? *
Select a hair service *

Hair Cut Hair Color/ Gray Coverage Hair Color / Blonding Hair Extensions / Hand Tied
Are you currently wearing extensions? *

Yes No
Have you worn extension in the past? *

Yes No
What kind of experience do you have with extensions?
How would you describe your natural hair texture? *

Fine Medium Coarse
How would you describe your natural hair density? *

Thin Medium Thick
How would you describe your natural hair length? *

Short / above shoulders Medium / shoulders to collar bone Long / Below shoulder to middle of back Very Long/ waist length
Is your natural hair colored? *

Yes No
Are you happy with your current hair color? Is there anything you would like to change about your current hair color? *
Ideally, how often do you go to salon for hair treatment? *

Every 3-4 weeks Every 6-8 weeks Every 3 months Twice a year Once a year
What is the current condition of your hair? *

Hair loss Damage due to heat Split ends Breakage Itchy scalp Hair is dry
How often do you apply shampoo and conditioner in your hair? *

Every day Every other day Twice a week Once a week
When did you last visit a hair salon? *

Month Day Year
Date
When did you last apply professional or unprofessional color in your hair? *
Please follow the instructions below to upload THREE pictures of your current hair. 1. Use your cell phone. 2.Have someone else take our photo (no selfies, please) 3. Take in the best natural lighting available to you (no flashes or direct sunlight) 4. Take THREE photos: Front, Back and Side. *

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Upload Inspiration Photo / Please attach a picture of your dream color and length. *

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Any special instructions, comments, or suggestions?
Future appointment cancelation policy: In order to continue to providing the best possible scheduling options to my guest, I do require a 24 hours notice should you need to cancel or reschedule your visit with me. Should you cancel your appointment with less than 24 hours or less, a charge of 50% of the services booked fee does apply and will be due before a new appointment is scheduled. *

Agree Disagree and do not wish to proceed with making an appointment
Having full knowledge of the financial commitment to obtain and maintain your HandTied Extensions, are you prepared to make the financial investment necessary to sit in my chair and experience natural looking hair extensions? *

Yes, Can't Wait! No Doesn't Apply To Me
By signing below, I agree to the terms and conditions of the salon company.
Client's Signature *

Clear
Date Signed

Month Day Year
Date
Should be Empty:

New Guest Intake Form