New client consultation form

1
Full Name* This field is required.
First Name
Last Name
2
Phone Number* This field is required.
Please enter a valid phone number.
3
When was the last time you had your hair done? * This field is required.Both professional or non professional
Date
Year
Month
Day
4
Hair History* This field is required.Please tell me what all has been done to your hair within the last 3 years. Ex. Bleach, color, or any chemical services, etc.. please be as detailed as possible.
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Small
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5
What type of hair would you say you have?* This field is required.
Fine & Thin
Fine & Dense
Medium & Fair
Course & Thick
Other
6
What pattern would you say your hair has?* This field is required.
Straight
Wavy
Curly
Coiled
7
Hair Condition* This field is required.
Dry/Dull
Damaged
Buildup
Flat/thinning
Normal
8
Scalp Condition* This field is required.
Oily
Dry
Normal
Dandruff
Sensitive
9
How often do you wash your hair? * This field is required.
10
How often do you want to maintenance your hair?* This field is required.
Every 4-6 weeks
Every 8-12 weeks
Every 6 months/ twice a year
Once a year
Unsure
11
Any allergies/concerns I should be aware of?* This field is required.
12
Have you had a Covid vaccine/Covid recently?
13
Are you currently pregnant?
YESNO
14
What are you interested in?* This field is required.
Heavy Blonding (Maximum impact highlights)
Dimensional Blonding (Highlights/Balayage)
Mini Blonding (Highlights/Money piece)
All Over color
Haircut Only
Scalp or Deep condition Treatment
High Frequency Treatment
Gloss Maintenance
Root Retouch
15
Please upload 2 images of your current hair in natural lighting. One of the back & one of the front. (Please have someone else take the photos for you.)* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Browse Files
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16
#2* This field is required.
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Max. file size: 10.6MB
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17
Please upload 2 inspo pics* This field is required.#1
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Browse Files
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18
Inspo pic #2
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Browse Files
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19
When would you like to book your appointment?(Lightening services need to be done in the morning/afternoon, this does NOT book your appointment this just gives me an idea of what day your wanting 🫶🏼)
20
If you have a budget in mind please let me know. If not write no budget. * This field is required.
21
What is your instagram username? * This field is required.I’ll reach out to you here to discuss everything, if you don’t have instagram please let me know how you would like to communicate.
22
How did you hear about Glammed Up By Kimm? * This field is required.
23
Anything else I should know? Or questions you may have?
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