Mindy Queen Hair Therapy New Guest Information Form
What is your full name
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First Name
Last Name
What is your preferred email address?
*
example@example.com
What is your current physical mailing address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is your cell phone number?
*
Please enter a valid phone number.
Format: (000) 000-0000.
May I send appointment information and reminders and via text from my booking site?
*
Please Select
yes
no
When is your birthday? (I just need the month and day, you can select this year as the year of birth if you'd like)
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-
Month
-
Day
Year
Date
How did you hear about me?
Please Select
Friend
Facebook
Instagram
Nextdoor
What services are you wanting to book at our first appointment? Please select all that apply
*
Root touch up
All over color (scalp to ends)
Highlights
Balayage
Smoothing Treatments
Bond Builders
Vivid Colors (pink, Blue, Purple, etc..)
Full head blonding
Color Correction
Hair Extensions
Haircut
Other
What is your budget for this requested appointment?
*
This will help determine what services to book with you
When was the last time you had your hair cut?
Less than 4 weeks ago
1-2 Months
2-4 Months
4-6 Months
6+ Months
When was the last time you had your hair colored
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I've never colored my hair (professional or box)
Less than 4 weeks ago
1-2 Months
2-4 Months
4-6 Mlonths
6+ Months
What services do you currently receive or have received in the past (please select all that apply)
*
Haircut
Root touch up
All over color (scalp to ends)
Highlights
Balayage
Hair Extensions
Smoothing Treatments
Bond Builders
Vivid Colors (pink, Blue, Purple, etc..)
Full head blonding
Home hair color (of any kind)
Please give a hair history going back 2 years. Hair grows about a half an inch a month. 24 months of growth is just below the shoulders.
*
How would you describe your hair type texture? Select all that apply
Fine
Course
Thin
Thick
Smooth
Rough
Straight
Wavy
Curly
Coily/Kinky
How would you describe your hair density
Very thin/actively thinning
Thin
Medium/Average
Thick
What days/times are you available? I will make every effort to get you in as soon as possible in line with the information you provided here. The more available you are the faster I will be able to get you in.
Weekdays 11-2
Weekdays 2-5
Weeknights 5-7
I will make anything work, I just need to get in ASAP
Is there anything else I should know prior to the appointment?
please upload 2-3 photos of your hair currently. I would like to see the front and back unfiltered.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload your inspiration photos. 1-2 would be wonderful
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Cancellation Policy: I understand that if I need to cancel or reschedule my appointment I need to do so with a minimum of 48 hours notice. If I do not cancel my appointment within the requested time frame, I understand a fee representing $25 for each service missed will be added to my profile and must be paid before I book another appointment. For example, if you were booked for a cut and color service, the cancellation penalty would be $50.
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I agree
Retail Refund Policy: I understand that I may exchange any opened or unopened retail product within 14 days of purchase. My stylist will suggest an alternative product to meet my needs and the value of the product I am returning will be applied towards the new product. I understand that cash or credit back for returned retail products isn't an option. I understand that retail returns can't be used as a service credit.
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I agree
Submit
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