New Client Consultation Form

1
First & Last Name
First Name
Last Name
2
Email
example@example.com
3
Phone Number
Please enter a valid phone number.
4
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
5
How did you hear about Rex Artistry Salon or Alexis?* This field is required.
Please Select
Please Select
Friend Referral
Google Search
Instagram
Facebook
Yelp
Other
6
Please check off all the services you think you may need.
Balayage
Lowlights
Highlights
All over darkening
Color Correction
All over lightening
Shadow root/Root color
Toner
Conditioning Treatment
Babylights
7
Image Field
8
Which of the following best describes your current length?* This field is required.
Short, above the shoulders
Short-Medium, it touches my shoulders
Medium, It's past my shoulders but around my collar bone/decolletage
Long, It's below my chest/at my first rib.
Extra Long, It's past my ribs.
9
Which of the following best describes your hair?* This field is required.
Very Healthy, I take great care of it!
Healthy, a little dry on the ends
Okay, It's dry and I have split ends
Dry, slightly damaged and overdue for a cut and treatment.
Damaged by heat styling
Very damaged by chemical services
10
Describe your chemical hair history over the past 2 years - this includes in salon and at home services.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
11
Describe what services you would like to receive and/or what your end goal is.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
12
Please attach a photo of your CURRENT hair.* This field is required.Please ensure the entire length of your hair is in the frame and it is in natural lighting (no bathroom pics please)
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
13
If you have any inspiration photos, let me see!
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
14
What allergic reactions have you had as a result of a chemical service or product?* This field is required.
15
Please add any other relevant information that would impact your hair services or experience, to the best of your knowledge, here. This may include at home water source, pregnancy, hormone therapy treatments, preferred pronouns, travel/COVID exposure, medications, surgeries, etc.
Huge
Large
Normal
Small
Ok
Ok
16
A friendly reminder of our salons policies

Late Policy:

If you arrive 15 minutes+ late to your appointment with Alexis at Rex Artistry salon that it may result in adjustment of services

(we may only have time to do some parts of the coloring service or we would need to skip the haircut and/or blow dry)

or it may result in loss of appointment completey.

No Show or Cancellation Policy:

If you no show on the day of your appointment or cancel within 48 hours of the appointment time, the exisisting card on file will be charged a fee of 50% of the scheduled service total.
17
Read each of the following in full:* This field is required.
By clicking this checkbox, I agree and certify that I have filled out this form to the best of my knowledge and I have been truthful about all of my answers. I accept that if I have no disclosed something listed on this form that I do not hold Alexis Rex Davis or Rex Artistry Salon liable.
By clicking this checkbox I agree and certify that I have read through the salon policies listed above.
18
I understand and agree with Rex Artistry Salons policies.* This field is required.
Clear
19
Please verify that you are human* This field is required.
Should be Empty: