Virtual Consultation Form

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
Hair Density ExamplesDensity is how thick/thin your hair is from scalp to ends. Decide which swatch looks most like your hair and select that name on the next page.
5
Would you describe your hair density as?* This field is required.Density is how thick or thin your hair is overall
Ultra Light
Light
Light to Medium
Medium
Medium to Heavy
Heavy
6
Hair Length ChartPick which photo looks most like your hair and select that name on the next page
7
How would you describe your hair length?* This field is required.Hair length describes how long or short your hair is
Ear length
Chin length
Shoulder length
Armpit length
Mid-back length
8
Tell me more about your color history in the last 3 years* This field is required.Click all that apply
Colored my hair at home (including: box color, glosses, fashion wash out colors, pigmented conditioners)
Had my hair colored/lightened at a salon
I haven't colored my hair in the last 3 years
I've never colored my hair
9
Have you ever had an adverse reaction to hair color?* This field is required.
No
I've never colored my hair
This doesn't apply to my appointment
Yes
10
If yes, please elaborate* This field is required.What was your reaction?
11
Bungalow Session Menu Find the right session for you based on what you need for your hair.
12
Check off all of the services you think you might need* This field is required.
Grey Coverage
Highlights
Balayage
All Over Lightening
All Over Darkening
Haircut
Clipper Cut
Color Correction
Low lights
Root melt
Hydrating Conditioning Treatment
Strengthening Treatment
Toner/gloss
At home care recommendations
Styling Lesson
Other
13
What other services are you interested in?* This field is required.
14
Based on the Bungalow Session Menu, what Service Package are you thinking you may need?* This field is required.
I Need A Refresh
I Need Maintenance
I Need A Change
15
What are you looking to get done? Is there anything else you'd like to share?* This field is required.Feel free to add inspiration photos if you'd like.
Huge
Large
Normal
Small
Ok
Ok
16
Please upload a current photo of your hair * This field is required.This will allow me to know where we are starting
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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17
Please upload up to 3 inspiration photos of the look you are wanting to achieve* This field is required.This will let me know what you want to achieve at your visit
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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