Appointment Request Form

Consultation Form
Full Name*

First NameLast Name
Contact Number*
Please enter a valid phone number.
Email Address*
How did you hear about us?*
What is your budget for this requested appointment?*
When was the last time you had your haircut?*

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

I've never colored my hairLess than 4 weeks ago1-2 months ago3-4 months ago5-6 months ago6+ months ago
In detail, what chemical/color services have you had done in the last 3 years?( HI-lights, root color, all over color, balayage...ect Please include any home color )*
How would you describe your hair strand texture? Select as many as apply.*

FineThickCourseSmoothRoughMainly StraightWavy (type 2)Curly (type3)Coily/Kinky (type 4)
How would you describe your hair density?*

Very ThinThinMedium/averageThick
What products do you currently use in your hair?*
What is your favorite thing about your hair?*
What are your top concerns & priorities for our first session together?*
What services are you looking to book at our first appointment?*

HaircutWeekly Styling servicesProfessional conditioning treatmentsChemical smoothing treatmentsHair ExtenstionsHI-lightsBalayage blondingExtensive BlondingVivids color (Fun color all over or in select areas)Other
How frequently are you able to visit the salon to maintain your color?*

2-3 weeks4-8 weeks8-12 weeks12+ weeks
How much time can you commit to your in-salon service?*

1-2 hours3-4 hoursHowever long it takes to achieve my goal.
What days/times are you available? I 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 10 am- 12pmWeekdays 12pm-4pmWeeknights 4pm-8pmWeekendsI will make anything work, I just need it get in ASAP
Is there anything else we should know before booking your appointment?*
Please upload 2-3 photos of your hair as it looks today. Please show it from the back and the front unfiltered.*

Cancelof
Please upload 1-2 photos of your hair goals. You can find inspiration photos through Google images search, Instagram, Pintrest, or anywhere else you've seen hair you admire.*

Cancelof
By completeing this form, I am submitting an appointment request and price quote inquiry. In responce, I will receive an email with an apoointment time and date option and a general price quote. Your appointment in salon will begin with a 15 minute full consultation to refine the plan for service. Generally, new guests are able to be seen within 2-3 weeks of appointment submission request, but guests with limited availability may have to wait up to 12 weeks to be seen. I understand that Leilani Artistry Hair Studio has a strict 48 hour cancellation policy and if I do cancel my appointment with less than 48 hours notice, or no show my appointment, I may be subject to a late cancellation fee and be banned from booking future appointments with the salon. By clicking the submit button below, I agree to these terms.
Should be Empty:

Consultation Form