Crown Worthy Booking Form

Crown Worthy Digital Consultation Form

Welcome to Crown Worthy with Sophia. I can’t wait to meet you soon. All new guests start working with me here with a digital consultation form. This allows me to get to know your hair goals so that I can ensure your initial appointment is booked properly. Please complete the form in full before scheduling your first appointment. If I have any questions, I will be in touch within 24 of your scheduled appointment. Once the form is submitted you will be redirected to my online scheduler to create your first appointment. Thank you.
What is your full name?*

First NameLast Name
Pronoun
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 mailing address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your Instagram Handle?
How did you hear about us?*
Tell us more about how you found us*
What is the name of the client who referred you to my business?
What is your budget for this requested appointment?*
Hair services start at $130 and up, and consultations start at $95.
When is the last time you had your hair cut or trimmed professionally?*

Less than 4 weeks ago1-2 months ago2-4 months ago4-6 months ago6 months+
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 you generally receive currently?*

HaircutDeva CutClipper cut (fades & tapers)Clipper cut (with scissor work)Beard work (trim, blend, razor line)Weekly styling servicesSilk pressSteam treatmentsProfessional conditioning treatmentsChemical smoothing treatmentsChemical relaxerPermHair extensionsTwists or box braidsGray coverage hair colorOverall hair color shift without gray coverageHi-lightsBalayage blondingBleaching/extensive blondingVivids color (fun color all over or in select areas)I wear wigsI wear protective hairstyles.
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 extensionsUnsure of application method
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)
What services are you looking to book at our first appointment? The services below are offered to new clients. You can visit crownworthy.com to see my Service Menu.*

Hair loss consultation: Consult with me if you are experiencing hair loss or other scalp disorders. I will identify what type of scalp disorder you have and what solutions are available.Hair loss consultation + Soothe Treatment: Everything from the hair loss consultation and a scalp treatment that gently exfoliates dandruff, soothes itching and creates a healthy environment for your hair to grow. A trim, silk press or flat twist set is included.Hair goals consultation + the works: Everything from the hair goals consultation, plus a steam treatment, trim, blow dry and flat iron, or flat twist set.Olaplex Blow Out: Olaplex helps repair weak chemically treated hair. It can be used to strengthen your hair. A blow dry and flat iron is included.Scalp Detox: Use this treatment to exfoliate your hair and scalp. This treatment helps remove dandruff, sebum, product build up from your scalp. A blow dry, and flat iron style is included.Trim (this is an add on service and must be paired with another service)Hair Cut (this is an add on service and must be paired with another hair service)Chemical smoothing treatments: Amino acid based treatment designed to soften natural or transitioning hair and make it easier to manage at home.The Works: If it has been six months or longer since you had a hair cut or trim schedule this service. You will get a trim, steam hydration treatment, silk press or two strand flat twist set.Soothe and Hair Growth Treatment: Includes everything from Soothe and laser therapy, Neogenesis hair thickening serum added.
Scalp Specific Questions
How would you describe your hair density?*

Very thin/actively thinningThinMedium/averageThick
Are you experiencing hair loss?*

YesNoDoes not apply.
Where is the hair loss located?*

Edges.Front or temples of the scalp.Crown of the scalp.Back of the head.Does not apply.
Do you have dandruff?*

YesNo
What are you goals with your hair?*

I'd like my hair to be as long as possible.I'd like to retain length.I'd like to reduce dandruff and itchy scalp.I'm looking to find out how to get my hair and scalp healthier for optimal hair growth.My hair is thin and increasing density is a primary concern.
What days/times are you available? I 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 I will be able to get you in.

Weekdays 10am-4pmWeeknights 4pm-5pmWeekends 7am-12pmWeekends 12pm-3pmI will make anything work, I just need to get in ASAP
Is there anything else we should know before booking your appointment?*
Please upload 2-3 photos of your hair as it looks today. We would like to see it from the back and the front, unfiltered. If you are experiencing hair loss or other scalp problems please take pictures of the problem areas to the best of your ability.*

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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.

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I am submitting this form to provide information about my current hair care routine and my concerns.

Your hair appointment in the salon will begin with a 10-minute full consultation to refine the service plan.

Generally, new guests can be seen within 2-3 weeks of appointment submission request, but guests with limited availability may have to wait up to 30 days to be seen.

I understand that we have a strict 48-hour cancellation policy. Cancellations after 48 hours or no-shows will not be able to schedule a new appointment unless the canceled or no-show appointment is paid in full. The payment will not go towards another service; it will be a charge for the service you missed.

Sophia will discount your service by taking $10 off if she is more than 15 minutes late for your service.

What do you need to know before you come in for your appointment? Please read carefully. Thank you.

1. Please do not bring anyone with you to your appointment.

2. Before your appointment, your hair should be free from braids, twists, extensions, or protective hairstyles.

3. Do not wash your hair at least 48 hours before your hair loss consultation.

4. If you have a cough or cold, or have been exposed to Covid 19, please stay home to keep everyone safe.

5. It is recommended to schedule your hair loss consultation on a Monday if you want a private appointment. On Mondays, I work with clients individually in the salon alone.

6. There is a fifty percent deposit on services over $100.

By clicking the submit button below, I agree to these terms.

Thank you.
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Crown Worthy Digital Consultation Form

Scalp Specific Questions