Hair Consultation Form

Welcome

Welcome! We're excited to get to know you better and provide personalized pricing options. To help us understand your needs and goals, please answer the questions below. Once we receive your responses, we'll be in touch with your customized starting price points and available booking times. Looking forward to connecting with you!
Client's Name*

First NameLast Name
Client's Phone Number*
Client's Email Address*
example@example.com
Occupation
Date of Birth

MonthDayYear
Date
What do you love about your hair?
Upload your inspiration picture *

You can upload multiple files here
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Share your hair goals with us! What are you looking to achieve? Whether it's a fresh color, a new cut, a nourishing treatment, extensions, or addressing hair loss, let us know and we'll tailor our expertise to meet your needs.
Upload an image of your current hair *

You can upload multiple files here
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Preferred service provider, pick up to 2 options.

First availableHeidiKenzie NicoleMckenzieJaelynSierra
How often do you want to maintain your hair?

Every 3-4 weeksEvery 2-6 monthsTwice a yearOnce a yearOther
How long is your hair?
How would you describe your hair?
What if your hair texture?
How often do you wash your hair?
How do you like to wear your hair regularly?
What is the current condition of your hair?

Hair lossDamage due to heatSplit endsBreakageHair is dryHealthyOther
Have you used the following in your hair before?

Permanent hair colorKeratin TreatmentRazor cut/ThinningRelaxerHennaBox colorSally’s colorAny color applied at home
When did you last visit a hair salon?

MonthDayYear
Date
When did you last apply professional or unprofessional color in your hair?
Please indicate the list of hair products you're currently using:
How did you hear about us?

FacebookInstagramGoogle SearchReferred by a friendOther
Any special instructions, comments, or suggestions?
Client Signature

Clear
Date Signed

MonthDayYear
Date
Should be Empty:

Welcome