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
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Hair Density Examples
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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
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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
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Some services may be booked 4-6 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
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What are you looking to get done? Is there anything else you'd like to share?If you'd like, you may upload photos here, or email them to me at hairbyjessieshaw@gmail.com.
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