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New Client Consultation Form
Please fill out the following questions
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1
Enter your full name
First Name
Last Name
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2
Enter your email
example@example.com
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3
Enter your phone number
Please enter a valid phone number.
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4
Have you box dyed your hair in the last two years?
YES
NO
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5
Have you had a relaxer or perm in the last two years?
YES
NO
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6
Have you ever had permanent color on your hair?
Ex: all over dark color, root coverage
YES
NO
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7
When was your last color service?
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8
What is the current condition of your hair?
Hair loss
Damage due to heat
Split ends
Breakage
Itchy scalp
Dandruff
Hair is dry
Other
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9
How often do you get your hair done?
Every 6-8 weeks
Every 3 months
Three times a year
Twice a year
Once a year
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10
Upload an image of your current hair
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
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11
Upload an image of your hair goals
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
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12
Desired Appointment Date & Time
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13
Please provide additional days & times that work with your scheduleĀ
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14
Any special instructions, comments or suggestions for me?
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15
Cancellation Policy
All clients must give at least 24 hours notice to cancel or reschedule an appointment in order to avoid a fee.50% of service cost will be charged if client notifies less than 24 hours of appointment time.100% of service cost will be charged if client notifies day of appointment
I agree to the terms above
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16
Late Policy
In order to respect the time of the stylist as well as the next client, anyone more than 15 minutes late to an appointment will be charged 100% of their service cost and will be asked to reschedule. If a client no shows an appointment, 100% of service cost will be charged + will not be able to reschedule until balance is paid
I agree to the terms above
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