Hairchaos Studio Pre-Consultation Form

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Name
First Name
Last Name
2
Email
example@example.com
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Phone Number
Please enter a valid phone number.
4
How did you hear about Hairchaos Studio?
Instagram
Google
Facebook
Friend
Other
5
What is your Instagram Handle, and Facebook name?
6
Do you currently have extensions?
YESNO
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If you have had extensions please tell us what type, and/or method, and your experience with them.
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Have you had any reaction to color, or extensions?itchy, redness, hives, bumps, peeling,
YESNO
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If yes, please explain?
10
Do you have any skin conditions, or allergic to anything? skin conditions like eczema, psoriasis, or allergic to ingredients, silicone or any metals.
YESNO
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If yes, please explain
12
Are you currently taking any medications that has side effects that cause thinning and/hair loss?
YESNO
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When was the last time you received a color service?
Less than a month ago
1-3months ago
4-9months ago
10+ months ago
2+ years ago
I have never colored my hair.
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Have you ever BOX COLOR your hair?
YESNO
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If yes, please tell when the last time was.
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What is the current length of your hair?
Pixie
Short ( to the chin)
Bob (Between Chin and Shoulder)
Long (Below Shoulders)
Extremely Long (Past bottom of shoulder blades)
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How you best describe your Hair Health
Healthy
Dry
A Little Breakage
A Lot of breakage
A little breakage around my face
Chemical Damage
Heat Damage
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What would best describe your Scalp Health
Dry
Oily
Irratation
Mild Dandruff
Moderate Dandruff
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What best describes your Hair Texture
Fine Texture
Medium Texture
Course Texture
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What best describes your Hair Density
Thin
Average
Thick
Heavy
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How often do you workout?
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What type of water do you have?
Well Water
Hard Water
City Water
unsure
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How often do you wash your Hair
1x per week
2x-3x per week
Every other day
Daily
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What tones do you prefer?
warm
cool
neutral
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On a regular basis, how you style your hair?
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What do you want to achieve with hair extensions?
Length
Density/ Thickness
Both Length/ Density
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Hairchaos Studio takes pride in the quality of hair that is used for extension services. Hairchaos Studio DOES NOT ALLOW OUTSIDE SOURCING OF EXTENSION HAIR.
YES, I Agree
28
There is a NON-REFUNDABLE DEPOSIT DUE before scheduling initial extension install appointment..
YES, I AGREE
29
Maintenance Appointments are required 4-9 weeks depending on hair growth. This does not include color for your hair.
YES, I fully acknowledge that maintence appointments are to be scheduled every 4-9 weeks and does not include color for my hair
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Hairchaos Studio DOES NOT OFFER ANY REFUNDS ON SERVICES OR DEPOSITS.please refer to our polices on our website as well
I agree, and acknowledge that Hairchaos Studio DOES NOT offer any refunds on services or deposits. I acknowledge that all sales and deposits are final.
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Please note that once extensions are installed, any major or drastic changes done to your or hair color, will result in additional cost and/or require a new install of extensions.
Yes, I agree that any drastic or major changes done to my hair may result in addtional cost and/or requrie a new install of extension hair.
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FINALLY!!!

Time to show me your hair and inspirational photos

of your

DREAM HAIR
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Please send me 2 photos of YOUR HAIR. They are for my eyes only, so that I can see our starting point.

INSTRUCTIONS:

To get the most accurate picture please have someone take the pictures for you in NATURAL LIGHTING.

No selfies, WITHOUT A FILTER

- Submit 1 photo from the front

-Submit 1 photo from the back
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FRONT
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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BACK
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Please Submit at least 3 photos of your inspiration for the color, length and DREAM HAIR. We can't wait to see
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Inspirational Photo
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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I understand that initial install INCLUDES extension hair, hair prep (custom coloring hair), color to my hair, custom blending haircut, homecare regimen card, and homecare products,
Yes, I understand and acknowledge that all initial install extensions include extension hair, hair prep, color to my hair, custom blending haircut, homecare regimen card, and homecare products
39
Are you available for appointments Monday- Thursday starting at 9am-3pm?
YES
NO
Depends on how long I am at my appointment
Other
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First Time Clients:

After this Form is filled out and signed, Hannah will get back to you via EMAIL and/or TEXT within 48hrs. to schedule an in person consultation. This will allow her to review this form in its entireity. The in person consultation will be about 20-30mins, and will go over this form, any question or concerns you may have, color match, review length, hair and scalp health, review homecare regimen, maintenance appointments, and lastly pricing.

Pricing is determined per client, there is not a one size fits all. Pricing inlcudes the following:

*Purchase of Hair

*Custom Color Prep on Extension Hair

*Custom Color to your Hair

*Extension Install

*Custom Blending Haircut

*Home Care Hair Guide how to maintain your new hair to optimize on extension hair "life span".

* Swag Bag that includes Scrunchie, Travel Size Extension Hair Brush, and Full Retail Products that are essential for home care regimen.

IN CASE OF RESCHEDULING:

We understand life happens, and we want to be resecpful of your time and ours. In the event that you need to reschedule your appointment we ask that you do so 72hrs. in advance. Please understand that our stylist books out 4-6 weeks in advance. We recommend rescheduling immediately.
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I have read all the information about what new clients can expect, what is included, and rescheduling policy.
Yes, I have the description above and agree.
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Right to Refuse SERVICEKeeping in mind that that overall health and integrity of my client's hair is top priority. If Hannah does not feel that your hair or scalp is in proper condition to receive requested services, Hannah has the right to either suggest an alternative or refuse to perform services altogether. If at any point during the service, Hannah feels that the integrity of the hair or scalp is being compromised, Hannah, will stop the service and discuss other options. in addition, if AT HOME CARE is not followed through along with home care guidelines that result in adverse reactions to your hair, scalp or extension hair that have caused damage, Hannah reserves the right to refuse reinstall or maintenance appointments. IF at any time the client is rude, disrespectful to Hannah or any at Hairchaos Studio the client may be asked leave and not return.
I agre
I disagree and do not want to schedule
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REDO/ FIX: We strive to give every extension client the luxury service they are investing in and leave feeling confident and excited for their new look and dream their hair. In addition, we also understand that a certain level of expectation is required. However, if you are needing an adjustment due to a malfunction, bead slippage, we would be more than happy to fix it within 7-10 days after service. If for any reason, there after issues continue and Hannah has not been contacted Hannah or Hairchaos Studio is no longer liable.
I agree
I disagree
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Extension Appointment AgreementPlease arrive at ALL appointments with CLEAN, DRY HAIR. Hair must be 100% dry prior to service, free of sticky hair products. Do not wash your hair for at least 48hrs. after installation.
I agree
aI disagree and do not want to book an appointment
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At-Home Care AgreementThe Client understands that they will be responsible for the proper care of natural, and extension hair to ensure best possible results. Hannah will provide the client with all home care instructions. Hannah will NOT be held liable for any damage, issues resulting from lack of proper at home care by the client. If extensions are not cared for properly matting, slippage, discoloration, and/or detachment may occur. It is imperative that to acknowledge any issues immediately, and to contact Hannah at Hairchaos Studio. If any issues continue to occur, then Hannah will provide you with an alternative to ensure the integrity of your hair. Removal or maintenance may be required.
I agree
I disagree and do not want to schedule an appointment
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Maintenance AgreementMaintenace will be necessary as the natural hair grows, and it is advised to these scheduled appointments to take place every 4-9weeks for this method of extensions. All maintenance appointments sh0uld be pre-booked before leaving the salon. The client understands that its necessary to keep up with maintenance appointments. In addition, if Hannah is not made aware of any issues with extensions from lack of home care regimen before upcoming appointments an additional fee may be required due to replacement of damaged wefts, or extended appointment timing.
I agree
I disagree and do not want to book appt
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I would like to inquire about Payment Plan Options?We offer Payment Plans through Cherry
YESNO
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I acknowledge that extensions are a luxury service. Furthermore, I understand that financial investments and obligations are associated with Extension Services at Hairchaos Studio LLC and I am prepared to make that financial commitment.
YES,I AM READY!!
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Signature
Clear
Should be Empty: