Epic Hair Studio Digital Consultation

1
What is your full name?* This field is required.
First Name
Last Name
2
What is your email address? * This field is required.
Please note, I will be reaching out by email to confirm your appointment
3
Phone Number* This field is required.
Please note, I will respond by text to confirm your appointment
4
What is your mailing address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
5
What is your Instagram Handle?
6
How did you hear about me?* This field is required.
Please Select
Please Select
Friend or Family
Instagram
Facebook
Yelp
Google Search
Community Votes Thornton
7
Whom may I thank for referring you?
8
When is the last time you had your hair colored and cut?* This field is required.
Less than 4 weeks ago
1-2 months ago
2-4 months ago
4-6 months ago
6 months+
9
What services are you interested in?* This field is required.
Specialty lived-in low maintenance color
Gray coverage
Going significantly lighter
Going significantly darker
Color Correction
Lightening services
Smoothing Treatment/Brazilian Blowout
Cut/Trim
10
What is the length of your hair?* This field is required.
Short/Pixie
Chin length
Chin to collarbone
Longer than collarbone
11
How would you describe your hair density?* This field is required.
Very thin/actively thinning
Thin
Medium/average
Thick
12
Have you experienced damage or breakage from color or highlighting?* This field is required.
Yes
No
13
What are your biggest priorities or concerns you want to address during your first appointment?* This field is required.
14
Tell me more about your hair goals. What would be your ideal outcome?* This field is required.
15
What does your hair look like now? * This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Please upload at least 1 photo of your current hair. (Natural, indirect light is best-think car selfie)
Cancelof
16
What is your hair goal? * This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Please upload an inspiration picture
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17
Thank you so much for taking the time to fill out your digital consultation form. Please allow 24 hours Monday-Friday for a response. I will send you an email very shortly, so keep an eye out for that. I look forward to working with you!

Thanks,

Christen Gill
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