Hair Extension Consultation form

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Full Name* This field is required.( Preferred Name )
First Name
Last Name
2
Email* This field is required.( Please enter a email you check daily for further instructions on how to book
example@example.com
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3
Phone Number* This field is required.( Please enter a valid number able to receive both text and phones if needed )
Please enter a valid phone number.
4
How Did You Hear About TopKnot Styles?* This field is required.
Please Select
Please Select
Facebook
Instagram
Family/Friend
Tic Tok
Google
5
If Referred By Someone, Please List Their Name* This field is required.( You both could receive $50 off any color experiences or $50 off extension row )
6
What Financial Investment Are You Prepared To Make?* This field is required.Extension services with Autumn Can cost anywhere from $1,000-$2,400. The final cost of your servie can vary greatly on your desired results & amount of hair needed along with rows. The hair is the most expensive investment of the whole service )
$800-$1000
$1000-$1200
$1200-$1400
$1400-$1600
$2000-$2400
I'm not sure, but id like to know my options
Other
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What Are You Looking For With Hair Extensions?* This field is required.( Please select all that apply )
Length
Volume
Color
I'm not sure, but id like to know my options
Other
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Are You Looking For Color Services As Well For Your Own Hair?* This field is required.( Ex. Root retouch, Balayage, Darker color, or Lighter color )
Yes
No
Other
9
What Color Services Do You Think You'll Need?* This field is required.( Pleas select all that apply or feel you may need )
Balayage
Root Touch-up
Grey Coverage
All Over Color
Highlights
Blonde
Blonde Touch-up
Gloss
Color Correction
Vivid Color
Other
10
What Is Your Hair History In The Last 5 Years?* This field is required.( Color in your hair or chemical treatments )
All professionally done
Some professionally done, some at home
All done at home
Never had my hair colored or chemically treated
Other
11
Have You ever Had An Allergic Reaction To Hair Color Or Chemical Treatments?* This field is required.
Yes
No
12
If You Answered Yes, Please Describe Below * This field is required.( Please describe what service you were getting & what the reaction was to the Chemical )
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13
Have You Ever Had Hair Extensions Before?* This field is required.
Yes, I have
No, I have not
Yes, I have them in currently
Other
14
Do You Have Any Allergies To The Following?* This field is required.( Please select all that apply )
Copper
Aluminum
Nylon
Cotton
Other
15
Inspiration Photo* This field is required.( Please upload a photo of inspiration here )
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Photo Of Your Own Hair* This field is required.( Please make sure the lighting in the photo is natural and bright so Autumn can see )
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Salon Policies * This field is required.Cancellation/rescheduling policy: I understand that things can come up. I value your time, and hope you value mine too. In the event you need to cancel your appointment, please be sure to notify me no later than 48 hours before your scheduled appointment. Failure to notify in time will incur a cancellation fee. To ensure our cancellation policy is upheld we require a credit card to book any appointment. Any appointment not cancelled within 48 hours of the scheduled date and time falls under my cancellation policy protocol. You will be charged 50% to your card on file of what the scheduled services were valued at. If you have any questions regarding this policy please communicate them before committing to an appointment. No Call/No show policy: If a guest is to no call/now show, they will be charged 100% of service fee with card on file and no longer allowed to book with TopKnot Styles. Late Policy: All guests are given a 9 minute grace period. At 10 minutes, they guest will be asked to reschedule their service due to the time sensitive quality of services. There will be 50% fee charge for the lateness and rescheduling of appointment and will not be counted towards next service. Saved Payment Method: Saved Payment Method: All guests' payment methods are safely and securely stored on file using my POS system. My POS system uses Stripe, the world’s leading secure and PCI compliant online payment processor Adjustment policy: Your Satisfaction is the highest priority. if you are not fully content with your service, please let me know during the service or within 7 days of your appointment. I am committed to making any needed corrections, as long as it falls in the services discussed and agreed upon during the consultation. I will be pleased to accommodate you free of charge in most circumstances. For said complimentary service to be done, this request must be made within 7 days of your initial appointment. I understand canceling the adjustment appointment will forfit the complimentary service and will be charged for any adjustments. Return Policy: All Hair Extensions are non-returnable/non-refundable once opened and installed. When the hair is order and received, i personal check the quality and color before applying the hair to ensure no bad wefts are installed.
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Liability & Policy Wavier (Signature)By reading and agreeing to this statement, I have read and understood all of TopKnot Styles By Autumn Daniels policies found in the digital Welcome Packet & stated in this memo. I agree to have my Payment Information saved and stored securely. I also understand that Autumn Daniels and I will have a in-depth conversation speaking about all of todays appointment, in which I agree to and acknowledge, including price, And the expected phyiscal and aesthetic results. I hereby release and agree to hold Autumn Daniels harmless from, and waive on behalf of myself, my hairs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses, and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the salon,, or that may otherwise arise in any way in connection with any services received from Autumn Daniels. I understand that this release discharges Autumn Daniels from any liability or claim that I, my heirs, or any personal representatives may have against the salon with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Autumn Daniels. This liability waiver and release extends to the salon together with all owners, partners, and employees.
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19
I Understand* This field is required.I understand that this is a general intake form for Autumn to make sure we are a good fit. Upon approval, we will need to have a in person consultation to ensure we find a perfect color match and order the correct amount of hair need. I also understand if all money must be paid at the time if consultation for the hair to be order if i do decide to go with my option
Yes, I understand
20
Is There Anything Else You Would Like Autumn to Know?( This would be a time to explain any like or dislikes about your hair currently, products you use or have used, or any other concerns you may have for Autumn to know about )
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