New Guest Form
Welcome! Please answer these questions as best as you can. This will help me to guarantee your best possible experience at your appointment and for all future visits. I will keep this securely in your online client file and it will not be shared with anybody else. I can’t wait to meet you soon!
The Basics
What is your full name?
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First Name
Last Name
What is your email address?
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Please note, I will be reaching out by email to confirm your appointment and to send location and parking instructions.
Phone Number
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Please note, I will respond by text to confirm your appointment
What is your mailing address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is your Instagram Handle?
How did you hear about me?
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Please Select
Referral
Instagram
Facebook
Yelp
Google My Business
Google Search
Other (Please specify...)
What is the name of the person that referred you?
What days/times are you available Monday-Friday 9:30am-5pm?
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Protection
Safety is always first! The following questions help me provide a safe, comfortable environment for you during your appointment.
Do you have any allergies to essential oils, fruits, nuts or vegetables? Please list.
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Do you have any blood circulation or thinning issues?
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Do you have any spine or neck issues that will prevent you from laying back in a shampoo bowl chair?
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Do you have any illnesses or injuries that I should know about?
Goals
What services are you looking to book at our first appointment?
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Haircut
Curly Haircut
Just a blow-dry styling service
Curly Discovery Service
Curl Rehab Service
Scalp treatment
Conditioning treatments
Deep Healing Repair Treatment
Keratin Smoothing treatments
Curl Cult Perm
Hair extensions
Gray coverage hair color
Color without gray coverage
Blonding
Dimensional color (Hi-lights, low-lights, balayage)
Vivids color (fun color all over or in select areas)
Color correction
Tell me more about why you are requesting a color correction?
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What are you goals with hair extensions?
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I'd like my hair to be as long as possible
I'd like my hair to be a 2"-3" longer than it is now
I'd like my hair to 4"-6" longer than it is now
I'm looking to blend a haircut I'm growing out
My hair is thin and increasing density is a primary concern
How happy are you with your current look?
What would you like to change about your hair? (color, texture, length, etc.)
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What is important to you when choosing a hairstylist?
Hair History
Do you you generally receive any of these hair service currently?
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Haircuts
Professional conditioning treatments
Keratin smoothing treatments/ Brazilian Blowout
Chemical relaxer
Perm
Hair extensions
Professional Color Services
At-home color
Highlights or Balayage
Vivids color (fun color all over or in select areas)
When is the last time you had your hair cut?
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Less than 4 weeks ago
1-2 months ago
2-4 months ago
4-6 months ago
6 months+
When is the last time you had your hair colored?
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I've never colored my hair
Less than 4 weeks ago
1-2 months ago
2-4 months ago
4-6 months ago
6 months+
When was the last time you had a Keratin Smoothing or Brazilian Blowout service?
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When was the last time you had a chemical straightening service?
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When was the last time you had a permanent wave service?
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Have you ever used Henna on your hair?
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Yes
No
Have you ever had an allergic reaction to hair color
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Yes
No
Do you currently have extensions installed in your hair?
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Yes
No
What type of extensions have you worn most recently or are you wearing now?
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Micro-link weft application
Tape-In application
Beaded application
Fusion application
Sewn-in application
Temporary/clip-in extensions
Unsure of application method
How would you describe your hair strand texture? Select as many as apply.
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Fine
Thick
Course
Smooth
Mainly straight
Wavy
Curly
Coily/Kinky
How would you describe your hair density?
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Very thin/actively thinning
Thin
Medium/average
Thick
Do you have any of these hair concerns?
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Lacks body/Volume
Badly Damaged
Difficulty Styling
Lacks Shine
Frizz
Oily Scalp
Dry Scalp
Dry Hair
Breakage/ Split Ends
Hairloss/Thinning
Eczema/Psoriasis
Sensitive Scalp
Please upload 2-3 photos of your hair as it looks today. We would like to see it from the back and the front, unfiltered.
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Please upload 1-2 photos of your hair goals. You can find inspiration photos through google image search, Instagram, Pinterest or anywhere else you've seen hair you admire.
Browse Files
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Choose a file
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Is there anything else we should know before booking your appointment?
The Policies
PUNCTUALITY POLICY: I strive to always be on time for my guests. If I am running significantly behind, I will make every effort to contact you prior to your appointment time. The only way I can ensure my punctuality is if each guest arrives on time for their appointment. If you are more than 10 minutes late I may not be able to perform your service or may alter services so that it doesn’t affect the rest of my scheduled appointments.
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I agree
I do not agree and will not proceed with my appointment
SERVICE RE-DO & RETAIL RETURN POLICY: I pride myself on doing a thorough consultation prior to each service to ensure 100% happiness. I realize that sometimes once you get home you may find something you would like to adjust. I am happy to make those adjustments within one week of receiving the service. I cannot provide refunds on services. Should you make a retail purchase that you are unsatisfied with, I will accept product retail exchanges at full credit for 30 days from your initial purchase. Returns are not accepted on empty or almost empty product. Tools can be returned within one week of purchase.
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I agree
I do not agree and will not proceed with my appointment
HEALTH POLICY: If you have a fever or are experiencing any flu-like symptoms, or have recently been exposed to someone who has been sick with a contagious disease, contact me as soon as possible, so we can reschedule your appointment at least 7 days in the future. This policy is crucial for the health of all of us and my business to continue to move forward.
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I agree
I do not agree and will not proceed with my appointment
Please verify that you are human
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