New Client Form

1

Name* This field is required.

First Name

Last Name

2

Pronouns* This field is required.

He/ Him

She/ Her

They/ Them

Other

3

Email* This field is required.

example@example.com

4

Phone Number* This field is required.

Please enter a valid phone number.

5

How did you hear about me? If referred, by whom? * This field is required.

6

I am currently booked out for about 4 weeks, are you willing to wait for an appointment?* This field is required.

7

What are you hoping to achieve on your first appointment?* This field is required.

8

What long-term goals do you have, if any?* This field is required.

9

What does your ideal beauty budget look like?* This field is required.

10

Why are you looking to book with someone new?* This field is required.

11

Tell me about an experience where you left unhappy, what happened?* This field is required.

12

Tell me about an experience where you left happy, what happened? * This field is required.

13

What is one thing I should avoid or not do?* This field is required.

14

What does your hair look like currently?* This field is required.If possible, please have someone else take a few shots of your hair from the top, sides, and back in indirect sunlight

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

15

Inspiration pictures* This field is required.Could be a picture of yourself or online

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

16

Is there anything else you would like to share?