New Client Consultation Form

New Client Consultation Form

Thank you for taking a few moments to fill out the consultation form. This helps tremendously in getting you properly scheduled as well as leaving the salon with a hair color and style you'll love!
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.
How did you hear about us?*

Referral from friend or familyGoogle SearchSocial MediaOther
What's the name of the friend/family who referred you?
What service(s) are you looking to schedule?*

Women's HaircutMen's HaircutColor - Grey Coverage/BlendingRoot color touch-upBalayageHighlightsColor CorrectionRoot color + Highlight + HaircutConditioning Treatment
What would you say the density of your hair is?*

Very thickThickMediumFineThin
In your hair's natural state, what is the texture?*

CurlyWavyStraight
Do you have a home water filter or shower filter*

YesNo
What are your goals for your appointment?*

Maintain current style & colorLooking for something a little differentLooking for a complete changeOther
In the last 2 years, what has been your hair color history?*

All color has been in a salonHas only been at-home hair colorA mix of at-home color and professionalI have not colored my hair in 2+ yearsOther
When was the last time you colored your hair?
What hair color/product did you use? Please check all that apply.*

From a public Beauty SupplyPurchased OnlineFrom a drugstore/grocery storeBox DyeSplatOvertoneTemporary Hair color rinseOther
Please upload at least TWO photos of hair inspiration here*

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Please upload at least TWO photos of your hair currently. One of the roots/top of your head, and the other full length- roots to ends from the back of your head. Make this a photo of your hair alone, not a profile photo. Avoid direct lighting as it distorts color.*

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Is there anything else you'd like to share?
Should be Empty: