new client request

PLEASE NOTE

With limited openings for new clients, I focus on accepting those whose vision aligns with my specialties and service style.

As an independent stylist managing my own communication and bookings, please allow up to two weeks for a response during high-demand times.

I regularly work with an assistant/ co-stylist. My co-stylist, Daniela, is a licensed cosmetologist and is extensively trained by me. Follow and get to know Daniela on IG @danieladoeshairr 🤗!

Thank you!

ABOUT YOU

Name*

First NameLast Name

Digits 📞 📲*

Please enter a valid phone number.

Email*

example@example.com

Instagram @ *

How did you hear about me? If referred by someone or found me through someone on social media, please put their first and last name or username.

What kind of salon experience do you prefer? (No wrong answers)*

Silent appointmentI’m a big talkerI like to have conversation, but only when it naturally flowsI like to bring things to do while I get my hair done (Listen to music on my headphones, play on my phone, work, read, etc.)It’s not that deep

YOUR HAIR HISTORY

This portion is extremely important and to better help me understand:

If you have ever used drug store/ boxed hair dye
If you currently have professional demi or permanent color on your hair
If you have used any spray-in hair lighteners, such as Sun-In
How I can best achieve your goals in the healthiest way possible
If there is anything you liked/ did not like about previous experiences at the salon
How often you get your hair done
If your hair is damaged, fragile, thinning, thick, fine, healthy, etc.
What hair colors/ styles you have had in the last 5 years
Anything else you want me to know

If you choose to withhold important details about your hair history, like the use of box dye, permanent color, Sun-In, etc., this could be detrimental to the results and integrity of your hair. In the event you choose to withhold important details that could alter the results of our service together, I am not liable as your stylist.*

I understand

Please summarize your hair history in as much detail as needed. *

Please attatch photo(s) of your current hair below, ensuring that:

The photo(s) are current and accurate
The entire lengths of your hair is shown, from roots to ends (No updo hairstyles unless necessary to show a certain part of your hair).
The photos are taken in natural, indirect sunlight lighting. Hair in photos taken at night, in direct sunlight, or indoor lighting can look decieving, so please avoid that.
The photo are not "posed," meaning they arent photos you would post on social media. No filters, full body photos, etc.

YOUR HAIR GOALS

What service(s) are you interested in?*

Blonding (highlights, babylights, balayage)Color/ Going Darker (brunette, lowlights)I need my grays blended tooMaintain the color I already haveHair Extensions

Please attach your inspo photo(s) below for your desired color.

If you're also interested in hair extensions, please attach your inspo photo(s) below for your desired length.

Please summarize your hair color goals in as much detail as you feel is necessary.*

If you're also interested in hair extensions, how tall are you? This information is important when deciding extension length. The taller you are, the longer extensions you may need to achieve a certain look, vice versa.

If you're also interested in hair extensions, have you ever had extensions before? If so, what method? How long did you wear them for? Do you currently have extensions installed?

SCHEDULING

Business Hours: Tuesday-Friday 10:00am-6:00pm

My earliest New Client Session can begin at 10:00am, and my latest New Client Session begins at 2:00pm. If you prefer late afternoons, your maintenance appointments may be able to be scheduled later than 2:00pm after your New Client Session.

Preferred Day and Time (Select all that apply)*

What is your timeline like? (ASAP, next month, in two weeks, for a specific day, etc.)*

POLICIES & ACKNOWLEDGEMENT

CANCELLATIONS, NO-SHOWS & LATE ARRIVALS

Cancellations made within 48 hours of scheduled appointment will result in a 50% nonrefundable fee of the service total. Cancellations within 24 hours of scheduled appointment will result in a 100% nonrefundable fee of the service total. No-shows will result in a 100% nonrefundable fee of the service total and further booking is prohibited. Please understand that if you are 15 minutes late or more, you are considered a no-show and will be subject to paying the no-show fee in full, rescheduling your appointment and/ or paying a late fee. Please understand that in the event a fee is due, I will charge the card on file listed under your Vagaro profile. All deposits, if required prior to service, are nonrefundable.*

I understand

ADJUSTMENTS

I understand that once in a while things don’t go as planned and an adjustment to your hair may be needed. Please understand that all services are nonrefundable under any circumstance, but I am more than happy to make any necessary adjustments at my soonest availability. Please understand that the adjustment appointment does not include things *not* discussed in the initial consultation. Redo appointments are not valid if you see another hairstylist other than myself, your hair comes in contact with any chemicals, you do not wash your hair in filtered water, you try to fix your hair at home either by yourself or by another nonprofessional, you do not follow at-home haircare instructions provided by myself, you are not using professional products at home, or if I am contacted regarding your concerns after 96 hours from our initial appointment.*

I understand

MEDICATIONS & HEALTH

Why I Ask for This Information
Some medications can interfere with the normal hair growth cycle, leading to thinning or hair loss. Understanding your medical background allows me to recommend the most appropriate hair treatments, avoid potential adverse reactions, and manage your expectations for hair growth and regrowth. Certain treatments or techniques may not be suitable for individuals on specific medications or with certain health conditions. For example, strong chemical treatments may not be recommended for clients undergoing chemotherapy or using certain medications that can make the scalp sensitive.

Confidentiality
All medical information shared with me will remain confidential and will only be used to help customize our services to best suit your needs.

Please inform me if you are currently taking or have recently taken any of the following:

Medications for Diabetes (e.g., Ozempic, Metformin, etc.)
Accutane (Isotretinoin)
Thyroid Medications (e.g., Methimazole, Levothyroxine, etc.)
Hormonal Medications
Blood Pressure Medications (e.g., Beta-blockers, ACE inhibitors, Diuretics, etc.)
Blood Pressure Medications (e.g., Beta-blockers, ACE inhibitors, Diuretics, etc.)
Antidepressants (e.g., SSRIs, TCAs)
Other Prescription Medications that you believe may impact hair health

Please list any medications or health conditions that apply to you below.

Please check off if you are either pregnant or post-partum.

I am pregnantI am post-partum

If you choose to withhold important details about your medical history, like the use of Ozempic, Thyroid medication, etc., this could be detrimental to the results and integrity of your hair. In the event you choose to withhold important details that could alter the results of our service together, I am not liable as your stylist.*

I understand

SOCIAL MEDIA CONSENT

I take photos and videos of my work for my public social media, and our salon’s social team also films around the salon. You may show up in some content. My social media acts as my portfolio, and it’s an important part of my job. I may be able to try to hide your face, but if that still doesn’t feel comfortable for you, we might not be the best fit.*

I understand

LOCATION & ADDRESS

Please confirm you are aware that Modish Salon is located at 7500 Island Cove Terrace, Unit 101, Sarasota, FL. There is free public parking available.*

Yes, I am aware

Please sign below acknowledging you have read and understood this form in its entirety.*