New Client Application

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.
Please enter a valid phone number.
4
Are you interested in making an Extensions appointment?* This field is required.
YESNO
5
Have you worn Extensions before?* This field is required.
YESNO
6
What type of Extensions?* This field is required.
Hand Tied/Beaded Weft
I-tip/Kertain
Tape-In
7
What are your hair goals?* This field is required.
Volume
Length & Volume
New Haircolor Transformation
Color Refresh
8
I'm aware Extensions require maintenance that includes blowdrying, daily brushing, using salon quality products.* This field is required.
YESNO
9
Upload photos of inspiration of your dream hair* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
10
Upload photos of your current hair(make sure to include all of your hair in the photo)* This field is required.Does not have to be your best selfie, just to get an idea for timing and goals
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
11
Are you looking to make a Hair appointment?* This field is required.
YESNO
12
What services would you like to have done?* This field is required.
Partial Highlight/Balayage
Grey Coverage
Full Highlight/Balayage
Color Correction
Gloss
Brazilian Blowout
Haircut
Blow Out/Styling
13
Which best describes your hair type?* This field is required.
Very Curly
Curly
Wavy
Straight
14
Do you have a preferred Stylist you want to make an appointment with?* This field is required.
YESNO
15
Who is your preferred Stylist?* This field is required.
Alex
Idalia
Alex S.
Joe
Grace
Jackie
Katie M.
Ann
Maria
Molly
Melanie
Jessica
Kaitie F.
16
Tell me about your hair history for the past few years. What services are you currently having done? What are your struggles with your hair?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
17
Tell me a little about your dream hair.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
18
What is your current hair routine? What products are you currently using?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
19
How often are you hoping to schedule maintenance appointments?* This field is required.
6 weeks
12 weeks
4 Months
Once a year
20
Upload photos of your Dream Hair Inspiration* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
21
Upload photos of your current hair. One overall and one closer to the roots.* This field is required.It doesn't have to be your best selfie, just to get an idea of timing.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
22
Are you looking to make a Lash Extensions or Tinting Appointment?* This field is required.
YESNO
23
Which of these services would you like?* This field is required.
Lash Tint
Brow Tint
Natural Lash Extensions
Volume Lash Extensions
Hybrid Lash Extensions
24
Are you looking to make a Wax Appointment?* This field is required.
YESNO
25
Which Waxing Services would you like?* This field is required.
Brow
Bikini
Lip
Brazilian
Full Face
Half Leg
Full leg
Arm
Half Arm
26
Are you wanting to book a Facial?* This field is required.
YESNO
27
What type of Facial are you interested in?* This field is required.
Signature Spa Facial
Dermaplaning Facial
Chemical Peel
Anti-Aging Facial
Acne Facial
Back Facial
Teen Facial
28
When is your availability?* This field is required.Please note Saturdays we are open from 9am-3pm
Morning
Afternoon
Late Afternoon / Evening
Tuesday
Wednesday
Thursday
Friday
Saturday
Tuesday
Wednesday
Thursday
Friday
Saturday
Morning
Afternoon
Late Afternoon / Evening
Morning
Afternoon
Late Afternoon / Evening
Morning
Afternoon
Late Afternoon / Evening
Morning
Afternoon
Late Afternoon / Evening
Morning
Afternoon
Late Afternoon / Evening
1 of 5
29
What is your Beauty Budget for your first appointment at Alexandra's?* This field is required.
$60-$150
$150-$350
$350-$700
30
How do you hear about Alexandra's?* This field is required.
Instagram
Facebook
Website
Referral
31
Who referred you, so we can thank them!
32
I'm aware Extensions an investment and ready for my dream hair!* This field is required.
Yes, so excited!
Need to know more info
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