New Guest Application

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number* This field is required.
Area Code
Phone Number
4
City, State* This field is required.
5
How'd you find Jessie Shaw?* This field is required.
Instagram
Facebook
Google
Yelp
Local Business
Met in Person
Referral from Friend
Social Media
6
What's the name of your friend who referred you?* This field is required.
7
Are you ONLY looking to book a haircut?* This field is required.
YESNO
8
Check off all of the services you think you might need.* This field is required.
Grey Coverage
Balayage
Highlights
All Over Lightening
All Over Darkening
Haircut
Clipper Cut
Color Correction
Shadow Root
Lowlights
Conditioning Treatment
Product Recommendations
Toner
Styling Lessons
Vivid/ Fashion Colors
Other
9
Session Services:
10
Session Services:
11
Based upon Jessie's Service Menu, what Service Package are you thinking you may need?* This field is required.
Basic Refresh $100+
Signature Dimension $175+
Luxe Dimension $220+
Redefine $250+
Give Me More
Other
12
Hair Density Examples
13
How would you describe your hair density/thickness?* This field is required.
Extra Light
Light
Light - Medium
Medium
Medium Heavy
Heavy
14
How would you describe your hair texture when naturally air-dried?* This field is required.
Straight
Wavy
Curly
15
Hair Length Chart
16
In the state that you wear it most often (Natural, Straightened, Smoothed, Curly etc.), How would you describe your hair length?* This field is required.
Short
Medium
Long
Extra Long
17
Your hair history within the last 3+ years.* This field is required.
I have colored my own hair.
I have not colored my hair in 3+ years.
I have gotten my hair colored professionally.
Other
18
What hair color/product did you use? Please Check all that apply.* This field is required.
From Sally's Beauty Supply
From Online
From Drugstore/Grocery Store
Box Dye
Splat
Overtone
Temporary Hair Color Rinse
Other
19
What day(s) are best for you?* This field is required.Select all that apply.
Weekdays- Daytime
Weekdays- Evenings
Weekends
20
Some services may be booked 4+ weeks in advance. When my schedule allows, I may be able to offer to come in on a day off for 1.5x the normal rate. Is this something you would be interested in?This mainly applies to evenings, weekends, or longer appointments.
YESNO
21
What are you looking to get done? Is there anything else you'd like to share?If you'd like, you may email photos to me at hairbyjessieshaw@gmail.com.
Huge
Large
Normal
Small
Ok
Ok
Should be Empty: