Candy Martin's New Client Form

Candy Martin's New Client Form

Southern Glam Salon
About You
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.
Basic Information
How did you hear about Southern Glam?*
How would you describe your hair?*

FineThickDamagedDryCoarseCurly/WavyOilyDullLimpHeavy
Do you currently have any scalp issues?*

ThinningBald SpotsScalp IrritationBreakageFlakingNone
For your protection, please list any medication that you are currently taking or have taken within the last 6 months. If none write N/A.*
Please list any allergies in the space provided and include nail, skin, and hair products allergies. If none write N/A.*
What do you currently love about your hair?*
What do you currently dislike about your hair?*
What are your reasons for leaving your previous stylist?*
Hair Care and Routines

Let me get to know about your hair care regimens!
Walk me through your styling routine. How often are you washing your hair? Styling? What products are you using and how?*
How often are you going back to the salon for maintenance*

1-2 months2-3 months3-4 months5-6+ months
How do you feel about your maintenance schedule?*

I want to keep it about the sameI want to go longer in between appointmentsI am open to coming in more frequently
Which is most important to you?*

Maintaining the integrity of your hairGetting to your hair goal as quick as possible
What is your 3 month budget for your hair needs? Take into consideration your initial service, maintenance services, and product purchases.*

$200-$300$300-$400$400-$500I am open to your suggestions
What days and time works best for you? If stylist is not available those dates are you open to other days/times?*
What type of experience are you looking for?*

Silent. No conversationChat the day awayWork/Read/Scroll on my phoneMajor relax, minor chatAn extra boost of positivity
Service Desired

What services are you interested in receiving
What service are you looking to have done?*
If desiring a cut:*

Go significantly shorter/Completely new haircutKeeping current length and slightly trimmingFixing a previous bad haircutOther
If desiring a color:*

Go slightly lighterGo slightly darkerGo significantly lighterGo significantly darkerGrey coverage/Grey blendingGo warmer/goldenGo coolor/ashierNeed more dimensionBalance uneven colorNeed to fix a previous bad color serviceOther
Hair Color History

Below we are going to ask some questions to get to know your hair a little better! Please be as descriptive as possible. If you are just needing a cut feel free to skip this section.
What have you done to your hair in the past 3 years?*
Have your previous colors been done professionally or with a box color?*
Your last hair color appointment was:*

1-2 months ago2-3 months ago3-4 months ago5+ months
Please upload 3 photos of your hair- Front, Side, and Back.*

Cancelof
Please upload 3 inspiration photos to show the colors, length, and/or dimension you are going for.*

Cancelof
Are there any hesitations or negative experiences you have about color?*
Please describe what draws you to the inspiration photos you uploaded. Explain what you like and dislike about the photos.*
Ready to submit

Please read the disclaimer below!
I understand that by submitting this form, it does not guarantee an appointment. I understand that by submitting this form i will receive general information based on the answers I provide, and may require an in person consultation for a fee to discuss more in depth questions. I understand that initial cost can vary greatly depending on my current hair, goal hair, and desired results. I understand that quotes given may not be the total amount after services are actually rendered, and some services may require a non-refundable retainer to secure an appointment. I agree that I am over 18, or if I am under 18, that I have had a legal guardian review, sign, and submit this form on my behalf.
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Candy Martin's New Client Form

About You

Basic Information

Hair Care and Routines

Service Desired

Hair Color History

Ready to submit