NEW CLIENT INTAKE FORM
CONTACT
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
QUESTIONNAIRE
I understand that I must schedule a New Client Consultation appointment on the Society Studios Orlando website in addition to completing this intake form.
Yes, I understand.
I understand that the New Client Consultation and my desired appointment cannot be scheduled on the same day to ensure proper expectations and communications for timing, pricing, maintenance, and overall booking.
Yes, I understand.
How did you hear about Jasmin?
*
ex. google, instagram, tiktok, pinterest, referral
If referred by someone, please list them below:
What services are you currently interested in?
*
Face Frame Lightening Service
Partial Lightening Service
Full Lightening Service
Reverse Balayage
All Over Permanent Color
Gray Coverage
Extensions
Maintenance Gloss
Other/I'm not sure
How soon are you wanting to come in for your desired hair appointment?
*
Have you had any type of keratin/smoothing treatment done to your hair in the last year?
*
yes
no
Have you had any box dye, Sally’s color, or any other color done outside of a salon within the last 3 years?
*
yes
no
Have you had any box dye, Sally’s color, or any other color done outside of a salon within the last year?
*
yes
no
Are you currently taking any prescriptions that could affect hair services?
*
yes
no
If so, please list them below:
Please list all products you currently use on your hair:
*
(ex. davines love shampoo, davines nounou conditioner, davines oi all in one milk, oi oil)
Are you open to new product suggestions?
*
yes
no
How often do you wash your hair on a weekly basis?
*
How often do you heat style your hair on a weekly basis?
*
How much time do you spend on your hair on a daily basis?
*
Are you currently using heat protection?
*
yes
no
Do you have any concerns with your hair?
*
(ex. dryness, hair loss, scalp imbalance, breakage, lack of volume)
When was the date of your last hair service?
*
-
Month
-
Day
Year
(does not have to be exact)
List a few things you did not like about your previous hair services:
Please upload a front, back, and side photo of your current hair.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload up to 3 photos of your desired end result.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Are you comfortable having your photo taken in the studio?
*
yes
no
Would you feel comfortable if there were a dog present during your service?
*
yes
no
CLIENT CONSENT
I acknowledge that all of the above information has been filled out correctly, and I have fully read and understand the studio policies.
*
Submit
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