Consultation & Appointment Personalization Form

Consultation & Appointment Personalization Form

This form must be completed and submitted within 24 hours of appointment request before your appointment is approved. You will receive a notification once your appointment is approved or declined. If any alterations to the time/day of the appointment need to be changed, I will reach out to you via text message or e-mail.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about my business?*
What is the name of the person who referred you (if anyone)?
Haircut Options for this appointment*
Hair Color Options for this appointment*
Treatment Options to add on

Moisture Mask $10Olaplex Chelating $35Olaplex Treatment $65
What is your budget range for this requested appointment (for color services)?
When was your last haircut?*

Less than 4 weeks ago1 - 2 Months ago2 - 4 Months ago4-6 Months ago6+ Months
When is the last time you had your hair colored?*

I've never colored my hairLess than 4 weeks ago1 - 2 Months ago3 - 4 Months ago5 - 6 Months ago6+ Months
How would you describe your hair strand texture? Select as many as apply*

FineThickCourseSmoothRoughMainly StraightWavy (Type 2)Curly (Type 3)Coily/Kinky (Type 4)
How would you describe your hair density?*

Very Thin or Actively ThinningThinMedium/AverageThickUltra Thick
How would you describe your hair length?*

Chin length or shorterChin to shoulder lengthShoulder to bra strap lengthBra strap lengthWaist LengthLonger than waist length
Briefly describe your current hair care & styling routine. What products are you using?
Is there anything else I should know before booking your appointment?
Please upload 2-3 photos of your hair as it looks today. I would like to see it from the back and the front, unfiltered.

Cancelof
Please upload 1-2 photos of your hair inspiration photos. You can find inspiration photos through google image search, Instagram, Pinterest or anywhere else you've seen hair you admire

Cancelof
Complimentary Customization Options:

Calm & Quiet Appointment - A full and thorough consultation - No extra chattingOpen to chat!Skip the warm towel.I love a warm towel!
Would you like a complimentary beverage waiting for you?

Freshly Ground Black CoffeeLatteCappuccinoVanillaHoneyChocolatePlainGreen Tea (Hot)(Other tea options available)Filtered Water (with ice)Filtered Water (no ice)Cabernet Wine (21+ Only)Chardonnay Wine (21+ Only)I'd like to enjoy my beverage while my color processesI'd like to enjoy my beverage at the start of my appointmentNo Thank You!
Would you like to add on complimentary aromatherapy to your shampoo experience?

LavenderEucalyptusLemongrassSeasonal OptionGrapefruitNo scent, please!
I have fully read the Terms Of Service page (https://www.brittanyreedsalon.com/terms) & I understand the cancelation policy and agree to the terms.*

Yes, I agree to the Terms Of Service
Should be Empty: