Mirror Images by Andrea Digital Consultation

Mirror Images by Andrea Salon Digital Consultation Form

Welcome to the Mirror Images by Andrea Salon Family and we can’t wait to meet you soon. All new guests start working with us here with a digital consultation form. This allows us to get to know you and your hair goals so that we 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. If you have any questions or need support please email us at mirrorimagesbyandrea@gmail.com
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?*
When is the last time you had your hair cut?*

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?*

HaircutClipper cut (fades & tapers)Clipper cut (with scissor work)Beard work (trim, blend, razor line)Weekly styling servicesProfessional conditioning treatmentsChemical smoothing treatmentsPermHair extensionsGray coverage hair colorOverall hair color shift without gray coverageHi-lightsBalayage blondingBleaching/extensive blondingVivids color (fun color all over or in select areas)
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)
How would you describe your hair density?*

Very thin/actively thinningThinMedium/averageThick
What services are you looking to book at our first appointment?

HaircutClipper cut (fades & tapers)Clipper cut (with scissor work)Beard work (trim, blend, razor line)Weekly styling servicesProfessional conditioning treatmentsChemical smoothing treatmentsPermHair extensionsGray coverage hair colorOverall hair color shift without gray coverageHi-lightsBalayage blondingBleaching/extensive blondingVivids color (fun color all over or in select areas)Color correctionOther
Tell me more about why you are requesting a color correction?*
Tell me more about your goals with your color service? What would be your ideal outcome?*
What are you goals with hair extensions?*

I'd like my hair to be as long as possibleI'd like my hair to be a 2"-3" longer than it is nowI'd like my hair to 4"-6" longer than it is nowI'm looking to blend a haircut I'm growing outMy hair is thin and increasing density is a primary concern
What days/times are you available? We 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 we will be able to get you in.

Weekdays 9am-12pmWeekdays 12pm-4pmWeeknights 4pm-8pmWeekends 9am-12pmWeekends 12pm-4pmWeekend evenings 4pm-8pmI 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.*

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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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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 and a general price quote.

Your appointment in salon will begin with a 15 minute full consultation to refine the plan for service.

Generally, new guests are able to be seen within 2-3 weeks of appointment submission request.

I understand that emergencies happen. Please give us at least 24 hour's notice if you need to reschedule or cancel your appointment.

By clicking the submit button below, I agree to these terms.
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Mirror Images by Andrea Salon Digital Consultation Form