NEW CLIENT INTAKE FORM
CONTACT
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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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