New Client Form
Please complete each question so we can provide an assessment prior to your appointment.
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Date of Last Hair Service
-
Month
-
Day
Year
Date
What type of hair do you have?
Please Select
Fine
Medium
Thick
Is your hair professionally colored? If so, what was the process?
Please Select
Box Dyed
Virgin Hair
Professionally Colored
What is your hair length?
Please Select
Short
Medium
Long
When is the last time you colored your hair?
-
Month
-
Day
Year
Date
Do you need gray blending or gray coverage?
Gray Blending
Gray Coverage
Not sure
Not applicable
When was your last haircut?
-
Month
-
Day
Year
Date
What time of day do you prefer to book?
Morning
Noon
Afternoon
Evening
What day of the week do you prefer to book?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Color Hair History: Please provide us the details of your hair color history for the last 2 years and any additional information you would like us to know about your hair.
Please upload current photo from the front of your hair- Please upload using jpg, raw, or png *
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload photos from the back of the hair *
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload photo of the top of your head.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload photo of hair half up and half down from the back (interior of hair).
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload a goal photo so I know your desired outcome
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload any additional goal photos.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Additional Goal Photo, i.e desired haircut, coloring, design, etc.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: