Digital Consultation Form
Please fill out the information below to help make our time at the salon together as smooth as possible.
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Your Hair Profile
If you are looking to drastically change your look, MaKenzie might request an in-person consultation before your visit. That way you both are on the same page during your visit.
Nothing crazy for me. No need for an in-person consultation
Yes, that sounds awesome and I would love to connect
Not sure
Please list the services you would like done for your upcoming visit
Options: Haircut, Color, Facial Waxing, Brow Tinting, Special Occasion Style
Please tell me how often you get your hair cut.
1-2 times per year
3-4 times per year
6+ times per year
Other
Please tell me what type of hair color has been on your hair in the past 3 years.
I'm all natural and just need a haircut.
None! I'm a hair color first-timer
Store bought color
Professional color only
Other
Please select which hair density best describes your hair.
Thick
Average
Thin
Other
Please select which hair type best describes your hair.
Course
Somewhere in the middle
Fine
Other
Please select which hair texture best describes your hair.
Curly
Wavy
Straight
Other
Please select which hair length best describes your hair.
Above the ears
Chin length
Shoulder length
Between the mid back and shoulders
Longer than mid back
Other
Please describe the current condition of your hair.
list your products
Please feel free to go into more detail about any questions or instructions you may have for your MaKenzie.
*Optional. Please upload a couple of hair selfies so MaKenzie can assess how much time will be needed for the service. For the best results please take a picture outside or with as much lighting as possible. You do not have to be a photographer but this will help her make sure you get the best salon experience possible
Please take a couple hair selfies!
I understand, have read and completed this questionnaire truthfully. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I understand that withholding information or providing misinformation may result in contraindications and/or irritation to the hair service being received.
Yes
I understand that this form does NOT book an appointment. This is for hair clarification purposes only. I understand that I need to return back to the website to continue the scheduling process.
Yes
Upload some desired Hair results
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
Submit
Submit
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