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
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Facebook
Instagram
Google Search
Referred by a friend
Other
Full Name
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First Name
Last Name
Date of Birth
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Month
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Day
Year
Date
Phone Number
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Area Code
Phone Number
Email Address
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example@example.com
Mailing Address
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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)
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Which location are you interested in booking?
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Chicago, IL
Louisville, KY
Select a hair service
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Hair Cut
Hair Color/ Gray Coverage
Hair Color / Blonding
Hair Extensions / Hand Tied
Are you currently wearing extensions?
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Yes
No
Have you worn extension in the past?
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Yes
No
What kind of experience do you have with extensions?
How would you describe your natural hair texture?
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Fine
Medium
Coarse
How would you describe your natural hair density?
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Thin
Medium
Thick
How would you describe your natural hair length?
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Short / above shoulders
Medium / shoulders to collar bone
Long / Below shoulder to middle of back
Very Long/ waist length
Is your natural hair colored?
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Yes
No
Are you happy with your current hair color? Is there anything you would like to change about your current hair color?
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Ideally, how often do you go to salon for hair treatment?
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Every 3-4 weeks
Every 6-8 weeks
Every 3 months
Twice a year
Once a year
Other
What is the current condition of your hair?
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Hair loss
Damage due to heat
Split ends
Breakage
Itchy scalp
Hair is dry
Other
How often do you apply shampoo and conditioner in your hair?
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Every day
Every other day
Twice a week
Once a week
Other
When did you last visit a hair salon?
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Month
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Day
Year
Date
When did you last apply professional or unprofessional color in your hair?
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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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Browse Files
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Browse Files
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Browse Files
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Upload Inspiration Photo / Please attach a picture of your dream color and length.
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Browse Files
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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.
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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?
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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
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Date Signed
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Month
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Day
Year
Date
Submit
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