New client request form
Hi there! I am now accepting new extension client request forms to make it easier before booking your appointments. This makes it to where I can see if your desired look is a good match for you and your hair. These are required for new clients only. I would like to review these before an in person consultation & deposit is placed! Thank you!
Full Name
*
First Name
Last Name
Phone Number
*
E-mail
example@example.com
Your Instagram profile name
When are you looking to schedule your appointment?
*
/
Month
/
Day
Year
Hour Minutes
AM
PM
AM/PM Option
How did you hear about me?
Please Select
Referral
Instagram
Facebook
Google
When was your last color service? Is there anything you don’t like about your hair currently?
*
Are you looking for adjustments to your color?
I want a full transformation!
Happy with my color. I want to maintain what I have.
I don’t want any color.
I don’t really know. I am open to suggestions.
How often would you like to come in to maintain you hairstyle
Every 4-6 weeks
6-8 weeks
2-4 months
4-6 months
Once a year is ideal
What describes your hair strands?
Fine
Normal
Medium
Course
What describes your hair density?
Fine
Normal
Medium
Course
What describes your hair texture?
Straight
Some wave
Wavy
Curly
Do you wear your hair in natural state? Or blow it out?
Natural state
Blow it out and heat style
Do you have extensions currently?
Yes
No
Have you had extensions before?
Yes
No
If yes to either question what kind?
What best describe your desired results?
I have breakage around my face I would like filled in.
I like my length but want thickness.
I want length and thickness but my hair is longer(not shoulder length).
I want Pinterest hair that is long and thick!
I have short hair but want to go longer.
Other
My hours are Wednesday, Thursday 9-4:30. Friday 8-12. Do these hours work for you?
Yes
No
Please include front, side and back photos of your current hair in natural lighting. Outdoor is best.
Front
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Side
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Back
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Hair inspiration photo
*
Browse Files
Drag and drop files here
Choose a file
Please show these photos at hair appointment and notify me if any changes are made with your inspiration photo 24 hours before your appointment.
Cancel
of
*Please note that not every inspirational photo can be achieved in one session. It takes multi sessions in certain cases. Inspiration photos are ideas or goals. Not to be duplicated exactly, as to everyone’s hair is different. I will always try my best to get very close to what you want to achieve.
*
I have reviewed your “policies” story highlight on your GlossGenius
*
It is required to cancel/reschedule your appointment 48/24 hours before your scheduled appointment. Failure to do so, you will be charged accordingly.
*
If for some reason I have to charge you a cancellation fee (which is 50% of your scheduled service) it is required to be sent. If not paid, I will not book you any future appointments.
*
As form of payment I only accept cash/ card or Venmo
*
If you have any other questions or would like to talk more one on one please message me via text or dm on Instagram. Would love to answer them for you!
Thank you :)
Submit
Should be Empty: