New Client Consult Form

1

Enter your full name

First Name

Last Name

2

Enter your email

example@example.com

3

Enter your phone number

Please enter a valid phone number.

4

Enter your Instagram handle example: @alexawilliamshair

5

Have you ever had permanent color on your hair? Ex: all over dark color, root coverage

YESNO

6

Have you box dyed your hair before? This means ever in your life

YESNO

7

When was your last color service?

9

What service are you looking to have done?

Full custom color

Partial custom color

All over one color

I’m not sure yet!

Other

10

Upload an image of your current hair * This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

11

Upload an image of your hair goals * This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

12

Do you agree that by filling out this form, Alexa may or may not accept you as a client, and that Alexa's prices range from $300-500? (Depending on the service + length of time involved)* This field is required.

13

Type a questionWhat is your preferred appointment time

Mornings

Evenings

I’m flexible

14

How did you hear about me? Friend (please list their name), Instagram, TikTok, other

15

Any questions you have for me?

16