Innovative Beauty & Wellness Consult Form

Innovative Beauty & Wellness Digital Application & Consultation Form

Welcome!! We can’t wait to meet you soon. All new guests start working with us here with a digital consultation form. This allows us to get to know you so that we can ensure your initial appointment is booked properly. Please complete the form in full and I’ll be in touch within 48 hours of your request during my work week which is Monday-Saturday. All requests submitted on Sunday will be responded to on Monday. If you have any questions or need support please email me at amanda@innovative-wellness.ca
What is your full name?*

First NameLast Name
What is your email address? *
Please note, I will be reaching out by email to confirm your appointment
Phone Number*
Please note, I will respond by text to confirm your appointment
What is your birthdate ?*

MonthDayYear
Date
What is your mailing address ?*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about us?*
Who referred you to Innovative Beauty & Wellness?*
What services are you interested in booking?*

Invisible Bead Hair ExtensionsHair CutWeekly styling servicesProfessional conditioning treatmentsGray coverage hair colorOverall hair color shift without gray coverageHi-lights/ Low-lightsBalayage blondingBleaching/extensive blondingVivids color (fun color all over or in select areas)Color correctionQuantum energy healingtarot card readinghot stone massagerelaxation masssgeOther
When is the last time you had your hair cut?*

Less than 4 weeks ago1-2 months ago2-4 months ago4-6 months ago6 months+
what is the current condition of your scalp?*

drynormaloilyscarsOther
Do you have a medical condition where hair loss is present such as alopecia?*

yesno
Are you currently in treatment for hair loss?*

yesno
Are you currently taking medication for hair loss*

yesno
Do you have any skin related diseases?*

yesno
Do you have any allergies*

yesno
Are you sensitive to metals*

yesno
Do you regularly swim?*

yesno
Are you pregnant?*

yesno
Are you postpartum ?*

yesno
Do you workout or use saunas regularly?*

yesno
When is the last time you had your hair colored?*

I've never colored my hairLess than 4 weeks ago1-2 months ago2-4 months ago4-6 months ago6 months+
What services do you generally receive currently?*

Hair extensionsWeekly styling servicesHaircutProfessional conditioning treatmentsGray coverage hair colorOverall hair color shift without gray coverageHi-lights/ Low-lightsBalayage blondingBleaching/extensive blondingVivids color (fun color all over or in select areas)Energy healingmassageOther
What type of extensions have you worn most recently or are you wearing now?*

Micro-link weft applicationTape-In applicationBeaded applicationFusion applicationSewn-in applicationTemporary/clip-in extensionsunsureIBEI-TipsOther
Do you currently have extensions installed in your hair?*

YesNo
How would you describe your hair strand texture? Select as many as apply.*

FineThickCourseSmoothRoughMainly straightWavy (type 2)Curly (type 3)Coily/Kinky (type 4)
How would you describe your hair density?*

Very thin/actively thinningThinMedium/averageThick
Tell me more about why you are requesting a color correction?*
Tell me more about your goals with your color service? What would be your ideal outcome?*
What are you goals with hair extensions?*

I'd like my hair to be as long as possibleI'd like my hair to be a 2"-3" longer than it is nowI'd like my hair to 4"-6" longer than it is nowI'm looking to blend a haircut I'm growing outIncreasing density is a primary concernI'm considering a hair topper and/or added density on topI’d like an IBE re-installOther
What days/times are you available? We will make every effort to get you in as soon as possible in line with the information you enter here. The more available you are, the faster we will be able to get you in.*

Weekdays 9am-1pmWeekdays 1pm-5pmSaturday 9am- 12pmSaturday 1pm-5pmAn evening works bestI will make anything work, I just need to get in ASAP
Is there anything else we should know before booking your appointment?*
Please upload a photo of your hair as it looks today. We would like to see it from the back and the front, unfiltered.*

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Please upload 1-2 photos of your hair goals. You can find inspiration photos through google image search, Instagram, Pinterest or anywhere else you've seen hair you admire. *

By completing this form, I am submitting an appointment request and price quote inquiry. In response, I will receive an email/text with an appointment time and date option and a general price quote. Your appointment in salon will begin with a 30 minute full consultation to refine the plan for service. Generally, new guests are able to be seen within 2 weeks of appointment submission request, but guests with limited availability may have to wait up to 3-4 weeks to be seen. I understand that we have a strict 48 hour cancellation policy and if I do cancel my consultation/appointment with less than 48 hours notice, I may be banned from booking future appointments with the salon. By clicking the submit button below, I agree to these terms.
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By signing below and submitting this form, you agree to all that is stated above Signature*

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Innovative Beauty & Wellness Digital Application & Consultation Form