@BALAYAGEBYCOURTNEYBAIRD
NEW color + highlighting pre-consultation
Name
First Name
Last Name
Phone Number
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Email
example@example.com
Please upload a current photo of your hair in natural lighting.
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Please upload a photo of your hair inspiration and color goal.
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How long has it been since your last color/highlight service?
Less than 6 weeks
2-3 months
6+ months
12+ months
NEVER
What COLOR/HIGHLIGHT services are you interested in? (click all that apply)
single process (gray coverage)
all over color (existing level or darker)
traditional foil blonding
handpainted lived-in blonding
heavy babylight blonding
corrective color
fantasy color
How often do you maintain your color?
High Maintenance color • 2-3 weeks (platiunum card, fantasy color, etc)
Monthly color • every 4-6 weeks (root touch-up, color + toner refreshes, traditional highlights, etc)
Lived-in Color • every 3-5 months (handpainted highlights or low maintenance color)
Lived-in Color • 6+ months (handpainted highlights or low maintenace color)
What describes your hair best? (Length)
Pixie (short)
Bob/Long Bob (short)
Above Shoulders (medium)
Below Shoulders (long)
What describes your hair best? (Haircut Style)
Pixie
Short Bob
Long/Angled Bob
Long Soft Layers
Heavy Layers
One Length
One Length + Face Frame
Other
What describes your hair best? (Density)
Fine Hair
Normal Hair
Thick Hair
Do you have hard water (well water) or harsh chemicals in your water?
Yes
No
Have you ever used any of the following (click all that apply)
Box Dye (drugstore haircolor)
Medicated Shampoo
Henna, Splat, or Overtone
Monat
If yes, was it within the past?
3 months
6 months
Over a year+
What days of the week are you interested in scheduling?
Monday
Tuesday
Wednesday
Thursday
What time of day are you interested in scheduling?
Morning
Afternoon
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