New Client Intake Form

Welcome!

Thank you for taking the time to complete your digital pre-appointment consultation! This form is designed to inform me of your hair's color/chemical service history prior to your first visit with me so that I can gain a more clear idea of what to expect behind the chair. Please answer the questions as best as you can with as much detail as possible. LET'S CREATE HAIR MAGIC!
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
May I use the contact information above to send promotions, thank you cards, etc.?*

YesNo
How long has it been since you last colored your hair?*

1-2 months ago3-4 months ago5+ monthsI've never colored my hair
What color or chemical services have you had done to your hair in the last 3 years? Please be as detailed as possible.*
Have your previous color or chemical services been done professionally or with at-home box color (this includes Sally's Beauty)?*
How would you describe your hair? Select all that apply.*

Fine (texture)Medium (texture)Coarse (texture)ThinThickUnrulyCurly/WavyOilyDullDryDamagedFrizzyShort (length)Medium (length)Long (length)
Are you currently experiencing any of the following?*

BreakageDry ScalpOily ScalpHair lossNone of the above
What do you currently LOVE about your hair?*
Let's celebrate that!
What do you currently DISLIKE about your hair?*
I will do my best to help!
How often are you committed to coming into the salon for maintenance*

Every 1-2 monthsEvery 3-4 monthsEvery 5-6 months (or more)
How much time can you commit to the duration of your hair appointment?*

1-2 hours2-3 hours3-4 hoursNo time constraints, I have ALL day!
What are your hair goals for your appointment?*

Go LighterGo DarkerAdd dimension (highlights and/or lowlights)Grey CoverageAchieve cooler/icy tonesAchieve warmer/richer or more golden tonesMostly keep my hair the same, I just want a refreshI want a full transformationOther
Please upload 2 RECENT photos of your hair-front and back-NO FILTERS PLEASE. Natural, shaded light is best (no direct sunlight preferred) *

Upload Photo

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Please upload 2 photos of your hair goals. Try to find photos that are IN FOCUS with good lighting that are UNFILTERED.*

Upload Photo

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I understand that this is a general consultation intake form designed so Cara can help me choose which service option is best for my hair and create a plan for my hair goals.

I understand that if I desire a more thorough explanation of the coloring process, or a detailed analysis of my current hair, that I will need to schedule an in-person consultation.

I understand that by submitting this form it does not guarantee that my hair goals can be achieved in one session.
Signature*

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Welcome!