New Guest Intake Form
Thank you for taking a couple minuets to fill this out!
What is your full name?
*
First Name
Last Name
What is your phone number?
*
Text is the primary method of communication.
Format: (000) 000-0000.
Emergency Contact
*
First and last name
Relation
Emergency Contact phone number
*
Format: (000) 000-0000.
Instagram Handle
Pronouns
What is your email address?
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about me?
*
If it was a personal referral, please note who it was.
What digital recourses have you already checked out?
Instagram @LillianOrlandoHair
Luna Loft Salon on Google
Luna Loft Website
Luna Loft Salon on Yelp
What are some of your primary hair concerns?
*
Example: leave in creams, hair oils, mousse, bond repair
Which of the following have you experienced in the last 6 months?
*
Thinning
Dryness or dullness
Breakage or damage
Oily Scalp
Scalp Irritation
Frizz
How would you describe your hair density?
*
Thin
Medium
Thick
What shampoo & conditioning products do you use at home?
Include brand & line name if possible.
What products do you use to style your hair?
Example: leave in creams, hair oils, mousse, bond repair
Have you ever experienced a skin sensitivity to in-salon or at-home products?
If yes, please explain what products they were.
Have you had a reaction to hair color or salon treatments?
*
If you have, please explain.
Have you ever had a haircut or hair color service that you were unhappy with?
*
If you have, id love the details.
Have you colored your hair at home within the past 5 years?
*
If you have, then please note when the last time you did it and what you used.
What services are you looking to book at our first appointment? Select all that apply.
*
Haircut
Grey Coverage
Grey Blending
Red Hair Transformation
Dimensional Brunette Transformation
Balayage / Dimensional blonding
Vivids & Fashion color (fun color all over or in select areas)
Not sure, open to suggestions
What is your budget for this requested appointment?
*
Please note the Service Menu: Cut Sessions $80-$150 Color Sessions $200-$400+
Is there anything you would like to tell me about your availability?
Is there anything else I should know before booking your appointment?
When is your birthday? MM/DD
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.
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Would you like a quiet appointment ? This would allow minimal conversation so you can work or just relax.
Yes, please.
No, lets chat!
Submit and relax. I’ll take it from here!
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