New Client Form

1

Enter Full Name* This field is required.

2

Enter your phone number * This field is required.

Please enter a valid phone number.

3

Enter your email* This field is required.

Please note, I will be reaching out by email.

4

How did you hear about us?* This field is required.

5

What is you hair history in last 2-5 years? * This field is required.

6

Do you currently have any color in your hair? * This field is required.

YESNO

7

Do you have box dye in your hair? * This field is required.

YESNO

8

When was your last colour service? * This field is required.

9

How would you describe your hair density?* This field is required.

Very thin/actively thinning

Thin

Medium/average

Thick

11

What services are you hoping to get done? * This field is required.

12

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* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

13

Please upload 1-2 photos of your hair goals* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

14

Please let us know if you have any questions for us?* This field is required.By completing this form, you will receive an email from us containing instructions on how to proceed with booking your appointment. Additionally, we will answer any questions you have asked in the form.