Diva's Retreat Client Application

Diva's Retreat Client Application

Welcome to the Diva's Retreat Salon Family and 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 you and your hair goals so that I can ensure your initial appointment is booked properly. Please complete the form in full and I’ll be in touch within 24 hours of your request during my work week which is Tuesday-Saturday. All requests submitted Saturday-Monday will be responded to on Wednesday. If you have any questions or need support please email me at TheDivasRetreat@gmail.com
What is your full name?*

First NameLast Name
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 appointmentFormat: (000) 000-0000.
What is your mailing address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
When is your birthday?

MonthDayYear
Date
YesNo
How did you find out about me?*
What is your budget for this requested appointment?*
This will help us determine what stylist and services to book you with
1 month ago2-3 months ago4-5 months ago6 months ago12 months+
I've never colored my hairLess than 4 weeks ago1-2 months ago2-4 months ago4-6 months ago6 months+
Have you ever had an adverse reaction to color?*
Do you have any allergies? Please list any food, hair, skin and nail product allergies.
Tell me about your hair currently?*
How long is your hair currently? *Please be advised that hair shorter than shoulder length is not my specialty.*
BreakageDrynessThinningBald SpotsScalp Irritation
Upload current pics of your hair when it is dry (Front & Back - NO FILTER)*

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Please upload current pics of your hair when it is wet (Front & Back - NO FILTER)*

Cancelof
If you straighten your hair, please upload pics of your hair straightened (Front & Back - NO FILTER)

Cancelof
Regular HaircutCurly CutSilk pressSteam treatmentsConditioning treatmentsKeratin TreatmentRelaxerColor (no gray)Gray coverage hair colorHighlightsBalayageExtensive blondingVivids color (fun colors)Hair extensions
FineThickCourseSmoothRoughMainly straightWavy (type 2)Curly (type 3)Coily/Kinky (type 4)
Very thin/actively thinningThinMedium/averageThick
Regular HaircutCurly CutSilk pressSteam treatmentConditioning treatmentKeratin TreatmentRelaxerColor (no gray)Gray coverage hair colorHighlightsBalayageExtensive blondingVivids color (fun colors)Hair extensions
Please upload pics of your hair goals*

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Tell me more about your goals? What would be your ideal outcome?*
Thursdays 10am-3pmFridays 10pm-3pmSaturdays 10am-2pm *Peak pricing on SaturdaysI will make anything work, I just need to get in ASAP *Premium pricing for this request*
YesNo
Major shrinkage over hereModerate shrinkageLight shrinkageNo shrinkage at all
What is your current hair routine?
What's worked for you?*
What hasn't worked for you?*
How much time do you want to spend styling your hair daily?*
Is there anything else I should know before booking your appointment?
I am comfortable with photos that show my faceI'd prefer photos that do not show my face
Show my child's faceDo not show my child's faceN/A
I agreeI do not agree and do not want to proceed
I agreeI do not agree and do not want to proceed
I agreeI do not agree and do not want to proceed
I agreeI do not agree and do not want to proceed
I agreeI do not agree and do not want to proceed
I agreeI do not agree and do not want to proceed
I agreeI do not agree and do not want to proceed
By completing this form, I am submitting an appointment request and price quote inquiry. In response, I will receive an email/text with an appointment time and date option for my virtual consultation.

Virtual consultations are $75, last about 30 mintues and are schedule on Mondays and Wednesdays between the hours of 10am-12pm. The $75 can be applied towards your first service at Diva's Retreat. In the event that the service booked is less than the $75, please be advised that the difference does not roll over to future services.

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