BTE Digital Color Consultation

1

Your Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Cell Phone Number* This field is required.

Area Code

Phone Number

4

Have you ever had an adverse reaction to hair color? * This field is required.Itching, redness, hives, peeling, etc

YESNO

5

Please explain. Where did this happen? How long ago did it happen? What happened and how long did it last? Have you had your hair colored since this reaction? Please provide as many details as possible.

6

Are you currently taking any medication that has side effects that can cause thinning and/or hair loss?* This field is required.

YESNO

7

When was your last color service in the SALON?* This field is required.

Less than one month ago

1-2 months ago

2-4 months ago

4-6 months ago

6-12 months ago

1-2 years ago

2+ years ago

I've never had my hair colored at a salon

9

Please tell ME about any and all colors you have had in the last three years (both salon and box color).* This field is required.

10

Have you had a perm within the last five years?* This field is required.

YESNO

11

Have you had a relaxer within the last five years?* This field is required.

YESNO

12

Have you had a Brazilian Blowout or Keratin Treatment within the twelve months?* This field is required.

YESNO

13

Have you EVER used Color Oops on your hair?* This field is required.

YESNO

14

When did you last use Color Oops?

15

Do you have well water or hard water?* This field is required.

YESNO

16

What is your current hair length?* This field is required.

Extremely short (Pixie)

Short (Chin length or shorter)

Medium (Between chin and shoulders)

Long (Below shoulders)

Extremely Long (Past bottom of shoulder blades)

19

Which best describes your NATURAL hair color?* This field is required.Please select all that apply.

Light (Blonde)

Medium (Dark Blonde/Light Brown)

Dark (Brown or Black)

Gray - I've got A LOT of gray hair

Gray - I've got a decent amount of gray hair

Gray - I've got a little bit of gray hair

21

Which best describes your haircolor needs?* This field is required.Please select all that apply.

I need my grays covered

I need my highlights/balayage touched up

I want to change my current color, but nothing drastic

I want to be significantly lighter or darker than my current color

I want a total makeover

Something's wrong with my hair and I need a color correction

23

Do you prefer your highlights to be more blended/natural or more bold/defined?* This field is required.Please select all that apply.

Blended/Natural

Bold/Defined

Chunky

Natural but really bright around my face (money piece)

I don't know

I just want a solid color all over

24

Do you prefer warm tones or cool tones for your haircolor?* This field is required.

Warm

Cool

Neutral

I'll let my stylist choose

25

How much time can you commit to your first color session?* This field is required.

Up to 90 Minutes

Up to 2 Hours

Up to 3 Hours

Up to 4 Hours

I have no time restraints. However long you need to achieve my dream hair!

26

How much time can you commit at your maintenance/future appts?* This field is required.

About the same time

Less time

I have no time restraints

27

How often do you like to maintain your haircolor* This field is required.

Every 3-4 Weeks

Every 5-6 Weeks

Every 6-8 Weeks

Every 10-12 Weeks

About 3 times per year

About 2 times per year

About once a year

1+ Year

I'm just looking to make one appointment

28

Which is most important to you?* This field is required.

Achieving my goal as quickly as possible

Maintaining the health/length of my hair

29

Is there a specific stylist you'd like to see?* This field is required.

Stylist A

Stylist B

No preference

The first available stylist

The most experienced stylist

The budget-friendly stylist

The quickest stylist

30

Why are you seeking a new stylist?* This field is required.

31

What do you currently like about your hair?* This field is required.

32

What do you currently dislike about your hair?* This field is required.

33

Is there a specific date you want in on or before?* This field is required.

YESNO

34

What is that specific date?* This field is required.

35

In order to best serve you, I need to see some photos of your current hair along with some hair inspiration photos to get you scheduled with the appropriate service/time without overcharging you.* This field is required.

I agree

I'd rather just book the most expensive service and pay for that amount of time

36

Upload a photo of the front of your hair in natural lighting.Please no filters

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

37

Upload up to three inspiration photos of colors/cuts you are wanting to achieve.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

38

Anything else you want ME to know?

39

Luxurious Lengths/The Head Shed Hair Salon Policies, Terms and Conditions Agreement* This field is required.Please scroll to the bottom to read all texts to enable agreement.

40

Your Signature* This field is required.By signing, you agree to all terms listed above.

Clear