Getting to know you

New Guest Intake Form
Welcome, I look forward to spending time with you at your visit.

Prior to your visit please fill out this form to the best of your ability. I love designing your look to match your face shape, personality, and lifestyle. To make sure we are hitting those points I like to revisit these questions about twice a year, so if it has been 6 months since you have filled this out please do so before your appointment. Likewise if you have never filled out this form please do so.
Because I like to make all my services custom and unique to you, I require all new clients to schedule a 15 minute consultation before scheduling any type of chemical service with me. This gives us the opportunity to discuss your desires, expectations and if your hair can handle the service. After your consultation, if we decide to move on, we will book your first chemical appointment together. Once you are done completing this form you will be directed to my booking site where you can schedule your consultatation or haircut service.

Agree
DateTime
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
What is your IG handle?
Birthday (I don’t need to know the year, just enter 2022)

MonthDayYear
Date
First time clients how did you hear about me?*
First time clients why did you leave your last stylist/salon?*
On a scale of 1-10 (10 being the best) how happy are you with your current look?*
On a scale of 1-10 (10 being the most open) how open are you to change?*
How much time are you willing to spend on your hair each day?*

5 mins10-15 mins30 mins or more
How often can you visit the salon to maintain your style?*

4 weeks6 weeks8 weeks12 weeks
What role does your budget play in choosing salon services and frequency of visits?*

not importantsomewhat importantvery importnat
What is your occupation?
Which of the following best describes your style? Choose all that apply.

TrendyClassicSophisticatedEclecticSportyCasualBohemianCuteGlamorousMinimalRock and RollGothicChicHippieVintageExoticFlamboyantPreppyPunkTraditionalElegantRelaxed/Undone
How feminine would you like your final look to appear?

SoftFeminineRomanticSensualSexyGlamorousGirlyTom Boy
Would you consider yourself

introvertextrovertambivert
Would you prefer a more youthful or mature look?
What is your favorite feature?
What is your least favorite feature?
What do you like most about your hair?*
What do you like least about your hair?*
What restrictions do you have with your hair?*
What is something a stylist did in the past to your hair that you just absolutely hated. It's ok we all have that story.
What is something a past stylist did for your hair that you absolutely loved and how long ago was that?
Anything else you want me to know about your hair before you come in.
What type of water do you have at your home?

WellCityCommunity WellWell but I have a filter on my shower headCity, but I used to be on Well and have never detoxed my hair.Not sure
When was the last time you did any sort of color to your hair, and what was used?
What brand and type of Shampoo are you currently using?*
What brand and type of Conditioner are you currently using?*
What Styling products are you currently using? *
How often do you currently shampoo your hair?*
Why type of photos are you ok with on our Social Media Pages?

Before & AfterAfter OnlyNot At AllI"m ok so long as my face is not showing
Please feel free to share any photo inspirations, styles you love and styles you hate when you come in for your appointment. It's even better when it's your own hair. Please plan on your first visit being a little longer so that we can discuss these options and find what works best for you.
If you would like to share a current photo of you please do so here

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If you would like to share some inspiration photos please do so here

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All chemical services require special at home after care. If you are not using my product recommendations, and following after care instructions I can not guarantee your service.*

Agree
I understand that if for any reason I am unable to make my appointment or I think I will be late that I will call and let Valerie know.*

Agree
Currently our cancellation policy is to allow us 24 hours notice that you are unable to make the appointment. This will hopefully allow us time to schedule someone else into your spot. Consistent last minute cancelations and reschedules can result in a 30% cancelation/reschedule fee and/or not being able to reschedule your appointment.*

Agree
Because we are a small location we ask that only the person receiving the service come to the appointment. This allows for us to be able to provide a more relaxing and safe environment for everyone. (caregivers and a parent/guardian of a minor child is allowed)*

Agree
Signature*

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New Guest Intake Form

Welcome, I look forward to spending time with you at your visit.