Client Intake Form

New Client Application

This form will make sure that I am the right fit for your needs. Otherwise, If it doesn't seem to be the right fit, I'll send you some recommendations! I am typically booked out about 3 weeks in advance (sometimes more, sometimes less).
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you find Amanda? (if someone referred you, let me know who, so I can thank them!)*
Colour ServicesCurl SercivesHaircut & Styling Services
In short, how would you describe your previous hair experience?*
every monthevery 2 monthsevery 3-4 monthsevery 6 monthsonce a yearI just go with the flow
thinaveragethickvery thick
1 month ago1-3 months ago4-6 months ago6-12 months agolonger than a yearI've never coloured my hair
yesnoI don't remember
Tell me about your current colour. What do you like and what would you change?*
Tell me about your haircut as it is today. What do you like and what don't you like?*
What would make this first appointment (or appointment series) feel like a success?*
YesNo
YesNo
How many days a week do you heat style your hair?*
How often do you wear your hair up in a ponytail?*
What shampoo and conditioner do you use?*
What styling products do you use in your hair currently?*
Are you currently using a hydrating mask?*
Is there anything else you think I need to know about your hair or about what you are wanting to achieve?*
Please add a picture of your hair currently.*

Cancelof
Please add any inspiration pictures you have for your hair journey.*

Cancelof
Should be Empty:

New Client Application