Salon Glow Chicago Digital Consultation Form

Salon Glow Chicago Digital Consultation

Welcome to the Salon Glow Chicago Family, 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 your initial appointment is booked properly. Please complete the form in full and we’ll be in touch within 24 hours of your request during our work week- which is Wednesday-Saturday. All requests submitted Sunday-Tuesday will be responded to on Wednesday. If you have any questions or need support please email us at info@salonglowchicago.com
What is your full name?*

First NameLast Name
Pronoun
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
What is your mailing address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birthday- Put any year*

MonthDayYear
Date
What is your Instagram Handle?
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?*
Was it the salon's Instagram or a specific stylist? *
Please give the stylist name or ig handle
What is the name of the stylist that referred you?*
Was it the salon's Tiktok or a specific stylist?*
Please give the stylist name or handle
Was it the salon's Facebook or a specific stylist?*
Please give the stylist name
What stylist are you looking to book your appointment with?*

No preference/First availableBella Flores - Owner - Level IVTara Barone - Salon Director - LEVEL IVTaulbee McGraw - Level IIISydney Baker - Level IIVanessa Marroquin - Level IIAlayna Corsolini - Level II
What is your budget for this requested appointment?*
This will help us determine what stylist and services to book you with
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 you generally receive currently?*

HaircutClipper cut (fades & tapers)Clipper cut (with scissor work)Weekly styling servicesProfessional conditioning treatmentsChemical smoothing treatmentsHair extensionsGray coverage hair colorOverall hair color without gray coverageHighlights/lowlightsBalayage blondingBleaching/extensive blonding/bleach and tone on the scalpRoot meltVivids color (fun color all over or in select areas)
Do you currently have extensions installed in your hair?*

YesNo
What type of extensions have you worn most recently or are you wearing now?*

Micro-link weft applicationTape-In applicationBeaded applicationFusion applicationSewn-in applicationTemporary/clip-in extensionsUnsure of application method
How often do you book your hair appointments?*

4-6 weeks6-8 weeks10-12 weeksTwice a yearOnce a yearWhenever my stylist tells me to book
How would you describe your hair strand texture? Select as many as apply.*

FineThickCourseSmoothRoughMainly straightWavy (type 2)Curly (type 3)Coily/Kinky (type 4)
How would you describe your hair density?*

Very thin/actively thinningThinMedium/averageThick
Do you have any current problems with your hair?*

BreakageFragile/BrittleDryFrizzUntamableOilyFlakey scalpFlat/No volumeDullJust HELP me!N/A
Would you say this is a seasonal issue?

YesNoI'm not sure
What services are you looking to book at our first appointment?

ConsultationHair Extensions ConsultationHaircutClipper cut (with scissor work)Clipper cut (fades & tapers)Weekly styling servicesProfessional conditioning treatmentsShine treatmentsChemical smoothing treatmentsGray coverage hair colorOverall hair color without gray coverageHighlightsBalayage blondingBleaching/extensive blondingVivids color (fun color all over or in select areas)Color correctionOther
Tell me more about why you are requesting a color correction?*
Tell me more about your goals with your color service? What would be your ideal outcome?*
What are you goals with hair extensions?*

I'd like my hair to be as long as possibleI'd like my hair to be a 2"-3" longer than it is nowI'd like my hair to 4"-6" longer than it is nowI'm looking to blend a haircut I'm growing outMy hair is thin and increasing density is a primary concern
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 6am-9amWeekday 9am-12pmWeekdays 12pm-4pmWeeknights 4pm-8pmWeekends 8am-12pmWeekends 12pm-4pmI will make anything work, I just need to get in ASAP
How soon would you like to book your appointment at Glow? ASAP?*
Is there anything else we should know before booking your appointment?
Are you open to taking our professional suggestions on the process to get you exactly where you want to be, the maintenance to maintain your hair and retail to upkeep your hair?

YesNoMaybe
What's holding you back?
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 and not in direct sunlight.*

function SvgDhtupload2(props) { return /* @__PURE__ */ react.createElement("svg", dhtupload_svg_extends({ width: 54, height: 47, xmlns: "http://www.w3.org/2000/svg" }, props), dhtupload_svg_path || (dhtupload_svg_path = /* @__PURE__ */ react.createElement("path", { d: "M40.213 10.172c1.897.21 3.68.738 5.35 1.58a15.748 15.748 0 0 1 4.374 3.242 15.065 15.065 0 0 1 2.951 4.533c.72 1.704 1.08 3.522 1.08 5.455 0 1.827-.28 3.654-.843 5.48-.562 1.828-1.379 3.47-2.45 4.929A13.39 13.39 0 0 1 46.669 39c-1.599.948-3.452 1.458-5.56 1.528H37.26a1.62 1.62 0 0 1-1.185-.5 1.62 1.62 0 0 1-.501-1.186c0-.457.167-.852.5-1.186.334-.334.73-.5 1.186-.5h3.848c1.44 0 2.75-.37 3.926-1.108a10.851 10.851 0 0 0 3.03-2.846 13.53 13.53 0 0 0 1.95-3.9 14.23 14.23 0 0 0 .686-4.321c0-1.582-.316-3.066-.949-4.454a11.623 11.623 0 0 0-2.582-3.636 12.857 12.857 0 0 0-3.742-2.478 11.054 11.054 0 0 0-4.48-.922l-1.212-.053-.37-1.159c-.878-2.81-2.292-4.998-4.242-6.562-1.95-1.563-4.594-2.345-7.932-2.345-2.108 0-4.005.36-5.692 1.08-1.686.72-3.136 1.722-4.348 3.005-1.212 1.282-2.143 2.81-2.793 4.585-.65 1.774-.975 3.68-.975 5.718h.053l.105 1.581-1.528.264c-1.863.316-3.444 1.317-4.744 3.004-1.3 1.686-1.95 3.584-1.95 5.692 0 2.39.8 4.462 2.398 6.219 1.599 1.757 3.488 2.635 5.666 2.635h4.849c.492 0 .896.167 1.212.5.316.335.474.73.474 1.187 0 .456-.158.852-.474 1.185-.316.334-.72.501-1.212.501h-4.849a10.08 10.08 0 0 1-4.374-.975 11.673 11.673 0 0 1-3.61-2.661 13.173 13.173 0 0 1-2.478-3.9A12.073 12.073 0 0 1 0 28.301c0-2.706.755-5.148 2.266-7.326 1.511-2.178 3.444-3.636 5.798-4.374.14-2.354.658-4.542 1.554-6.562.896-2.02 2.091-3.777 3.584-5.27 1.494-1.494 3.25-2.662 5.27-3.505C20.493.422 22.733 0 25.193 0c1.898 0 3.637.237 5.218.711 1.581.475 3.004 1.151 4.269 2.03a13.518 13.518 0 0 1 3.268 3.215 18.628 18.628 0 0 1 2.266 4.216Zm-11.964 13.44 6.22 6.85c.245.247.368.537.368.87 0 .334-.123.642-.369.923l-.421.263c-.211.246-.484.343-.817.29a1.544 1.544 0 0 1-.87-.448l-3.69-4.11v16.97c0 .492-.166.896-.5 1.212-.334.316-.729.474-1.186.474-.492 0-.896-.158-1.212-.474-.316-.316-.474-.72-.474-1.212V28.25l-3.584 4.005a1.544 1.544 0 0 1-.87.448.959.959 0 0 1-.87-.29l-.42-.264c-.247-.28-.37-.588-.37-.922 0-.334.123-.624.37-.87l6.113-6.746v-.052l.421-.422a.804.804 0 0 1 .396-.29c.158-.053.307-.079.448-.079.175 0 .333.026.474.079.14.053.281.15.422.29l.421.422v.052Z", fill: "none" }))); }

Cancelof
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.

function SvgDhtupload2(props) { return /* @__PURE__ */ react.createElement("svg", dhtupload_svg_extends({ width: 54, height: 47, xmlns: "http://www.w3.org/2000/svg" }, props), dhtupload_svg_path || (dhtupload_svg_path = /* @__PURE__ */ react.createElement("path", { d: "M40.213 10.172c1.897.21 3.68.738 5.35 1.58a15.748 15.748 0 0 1 4.374 3.242 15.065 15.065 0 0 1 2.951 4.533c.72 1.704 1.08 3.522 1.08 5.455 0 1.827-.28 3.654-.843 5.48-.562 1.828-1.379 3.47-2.45 4.929A13.39 13.39 0 0 1 46.669 39c-1.599.948-3.452 1.458-5.56 1.528H37.26a1.62 1.62 0 0 1-1.185-.5 1.62 1.62 0 0 1-.501-1.186c0-.457.167-.852.5-1.186.334-.334.73-.5 1.186-.5h3.848c1.44 0 2.75-.37 3.926-1.108a10.851 10.851 0 0 0 3.03-2.846 13.53 13.53 0 0 0 1.95-3.9 14.23 14.23 0 0 0 .686-4.321c0-1.582-.316-3.066-.949-4.454a11.623 11.623 0 0 0-2.582-3.636 12.857 12.857 0 0 0-3.742-2.478 11.054 11.054 0 0 0-4.48-.922l-1.212-.053-.37-1.159c-.878-2.81-2.292-4.998-4.242-6.562-1.95-1.563-4.594-2.345-7.932-2.345-2.108 0-4.005.36-5.692 1.08-1.686.72-3.136 1.722-4.348 3.005-1.212 1.282-2.143 2.81-2.793 4.585-.65 1.774-.975 3.68-.975 5.718h.053l.105 1.581-1.528.264c-1.863.316-3.444 1.317-4.744 3.004-1.3 1.686-1.95 3.584-1.95 5.692 0 2.39.8 4.462 2.398 6.219 1.599 1.757 3.488 2.635 5.666 2.635h4.849c.492 0 .896.167 1.212.5.316.335.474.73.474 1.187 0 .456-.158.852-.474 1.185-.316.334-.72.501-1.212.501h-4.849a10.08 10.08 0 0 1-4.374-.975 11.673 11.673 0 0 1-3.61-2.661 13.173 13.173 0 0 1-2.478-3.9A12.073 12.073 0 0 1 0 28.301c0-2.706.755-5.148 2.266-7.326 1.511-2.178 3.444-3.636 5.798-4.374.14-2.354.658-4.542 1.554-6.562.896-2.02 2.091-3.777 3.584-5.27 1.494-1.494 3.25-2.662 5.27-3.505C20.493.422 22.733 0 25.193 0c1.898 0 3.637.237 5.218.711 1.581.475 3.004 1.151 4.269 2.03a13.518 13.518 0 0 1 3.268 3.215 18.628 18.628 0 0 1 2.266 4.216Zm-11.964 13.44 6.22 6.85c.245.247.368.537.368.87 0 .334-.123.642-.369.923l-.421.263c-.211.246-.484.343-.817.29a1.544 1.544 0 0 1-.87-.448l-3.69-4.11v16.97c0 .492-.166.896-.5 1.212-.334.316-.729.474-1.186.474-.492 0-.896-.158-1.212-.474-.316-.316-.474-.72-.474-1.212V28.25l-3.584 4.005a1.544 1.544 0 0 1-.87.448.959.959 0 0 1-.87-.29l-.42-.264c-.247-.28-.37-.588-.37-.922 0-.334.123-.624.37-.87l6.113-6.746v-.052l.421-.422a.804.804 0 0 1 .396-.29c.158-.053.307-.079.448-.079.175 0 .333.026.474.079.14.053.281.15.422.29l.421.422v.052Z", fill: "none" }))); }

Cancelof
By completing this form, I am submitting an appointment request and price quote inquiry. In response, I will receive an email/text with an appointment time and date option and a general price quote. Cost of product is additional to the service prices.

Your appointment in salon will begin with a 15-30 minute full consultation to refine the plan for service.

Generally, new guests are able to be seen within 1-3 weeks of appointment submission request, but guests with limited availability may have to wait up to 6 weeks to be seen.

I understand that Saloln Glow Chicagos asks for a 24 hour cancellation notice and they have a strict 4 hour cancellation policy. If I do cancel my appointment with less than 4 hours notice, I will be charged a late cancellation fee and may be banned from booking future appointments with the salon.

View our full policies on our website.

Deposits are required to book an appointment.

By clicking the submit button below, I agree to these terms.

Now create your own Jotform - It's free!Create your own Jotform

Salon Glow Chicago Digital Consultation

GLOW STAFF USE ONLY