Hair Replacement by Itzel Digital Consultation Form

Hair Replacement by Itzel Digital Consultation Form

We are so excited that you are taking the first step to your hair transformation. We can’t wait to meet you. All new guests start working with us here with a digital consultation form. This allows us to get to know you and your hair goals so that we can ensure that we are well prepared for your initial appointment. Please complete the form in full and I’ll be in touch within 24 hours of your request during my work week which is Tuesday-Saturday. All requests submitted Sunday-Monday will be responded to on Tuesday. If you have any questions or need support please email us at hrbyitzel@gmail.com
What is your full name?*

First NameLast Name
What is your email address? *
Please note, I will be reaching out by email to confirm your appointment
Phone Number*
Please note, I will respond by text to confirm your appointment
Preferred form of contact*

EmailTextCall
What is your mailing address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about us?*
Tell us more about how you found us
What is the name of the client who referred you to my business?
When is the last time you had your hair cut?*

Less than 4 weeks ago1-2 months ago2-4 months ago4-6 months ago6 months+
When is the last time you had your hair colored?*

I've never colored my hairLess than 4 weeks ago1-2 months ago2-4 months ago4-6 months ago6 months+
What services do you generally receive currently?*

Hair SystemWigsToupeeHaircutClipper cut (fades & tapers)Clipper cut (with scissor work)Weekly styling servicesSilk pressSteam treatmentsProfessional conditioning treatmentsChemical smoothing treatmentsChemical relaxerPermHair extensionsTwists or box braidsGray coverage hair colorOverall hair color shift without gray coverageHi-lightsBalayage blondingBleaching/extensive blondingVivids color (fun color all over or in select areas)
What type of hair system or extensions have you worn most recently or are you wearing now?*

NoneWigToupeeTopperHair unitTape-In applicationBeaded applicationFusion applicationSewn-in applicationTemporary/clip-in extensionsUnsure of application method
Do you currently have a hair system or extensions installed in your hair?*

YesNo
How would you describe your hair strand texture? Select as many as apply.*

FineThickCourseSmoothRoughMainly straightCurly
How would you describe your hair density?*

AlopeciaVery thin/actively thinningThinMedium/averageThick
What services are you looking to book at our first appointment?*

Hair systemWig serviceHaircutWeekly styling servicesHair extensionsProfessional conditioning treatmentsOther
What days/times are you available? We will make every effort to get you in as soon as possible in line with the information you enter here. The more available you are, the faster we will be able to get you in.

Weekdays 9am-12pmWeekdays 12pm-4:30pmWeekends 9am-1:30pmI will make anything work, I just need to get in ASAP
Is there anything else we should know before booking your appointment?
If you'd like to share some photos of your hair as it looks today, I would greatly appreciate it. This will help me better prepare for our consultation. We understand how difficult hair loss can be, so if you are uncomfortable doing this, know that you do not have to.

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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.

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