New Client Intake Form

New Client Intake Form

I love a great consultation and being ultra prepared for our time together! I want to make sure that I have a clear idea of what your current hair state is and where you are wanting to go with it. Once I have a clear idea of how to get you there, I'll respond in 24-48 hours with additional questions or a quote suited for you.
Contact Information
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Basic Information

Here is a couple key questions to start getting to know you a bit better.
NewReturning
How did you hear about me?*
When was your last hair appointment?*
finethickdamageddrycoarseunrulycurly or some kind of natural waveoilydulllimpheavy
thinningbald spotsscalp irritationbreakageflakingnone
Please list any allergies in the space provided and include nail, skin, and hair product allergies*
What do you currently love about your hair?*
What do you currently dislike about your hair?*
Hair Care and Routines

Let's get to know more about your hair care regimens!
Walk me through your styling routine. How often are you washing your hair? Styling? What products are you using and how?*
1-2 months3-4 months5-6+ months
I want to keep it about the same.I want to go longer in between appointments.I'm open to coming in more frequently.
2-3 hours3-4 hours4-5 hoursI'm fine with however long it takes/no time limit
Maintaining the integrity of your hairGetting to your hair goal as quick as possible
$250-350$450-550$650-750$800+I am open to your suggestions
YesNo
Silent. No conversation.Chat the day awayWork/Read/Scroll my phoneMajor Relax, Minor ChatBe pampered and catered onExtra boost of positivity
Services Desired

What services are you interested in receiving?
CutColorExtensions
Go significantly shorter/completely new cutKeeping current length and slightly trimmingFixing a previous bad haircut
Go slightly lighterGo slightly darkerGo significantly lighterGo significantly darkerGray coverage/Gray blendingGo warmer/goldenGo cooler/ashierNeed more dimensionBalance uneven colorNeed to fix a previous bad color service
Need fullness only to match current lengthNeed slight fullness and lengthNeed significant length and fullness
Extension Questions

If you're not interested in getting extensions, please skip this portion.
I've had them in the pastI'm currently wearing themI've never had extensions
What kind of extensions have you used or what kind are you currently using and for how long?
What do you like/dislike about the methods you've used in the past vs. the ones you're interested in getting?
Hair Color History

Below we're going to ask some questions to get to know your hair a little better! Please be as descriptive as possible. If you're just needing a cut, feel free to skip this section.
Please list in chronological order what services you've had in the past 3 years?
Have your previous colors been done professionally or with a box color?
1-2 months ago3-4 months ago5+ months ago
Picture Uploads

Its critical for me to see what your hair looks like and the pictures you're striving for. Please take photos in natural light, away from direct sunlight. Please do not upload pictures that are far away or with a filter.
Please upload 3 photos of your hair - side, front *& back.*

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Please upload 3 inspiration photos to show the colors, length, and/or dimension you are going for.*

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Are there any hesitations or negative experiences you have about color and/or extensions?*
Please describe what draws you to the inspiration photos you uploaded. Explain what you like/dislike.*
Ready to Submit

Please read the disclaimer below:
I understand that by submitting this form, it does not guarantee an appointment. I understand that by submitting this form I will receive general information based on the answers that I have provided and may may require an in person consultation for a fee to discuss more in depth questions. I understand that initial costs can vary greatly depending on my current hair, goal hair, and desired results. I understand that quotes given may not be the total amount after services are actually rendered and some services may require a non-refundable retainer to secure an appointment. I agree that I am over the age of 18, or if I'm under 18, that I've had a legal guardian review, sign, and submit this form on my behalf.
Signature*
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New Client Intake Form

Contact Information

Basic Information

Hair Care and Routines

Services Desired

Extension Questions

Hair Color History

Picture Uploads

Ready to Submit