First Service Consultation Form

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number* This field is required.

Please enter a valid phone number.

4

How did you hear about me?

5

Look over my menu to get a better idea of what type of service you may be looking for. *Timing and pricing subject to change.

6

Based upon my Service menu, what service package are you most interested in?* This field is required.

Signature Cut $75+

The Works $115+

Express Cut $55+

Solid Color Package $195+

Brightening Package $225+-$265+

Dimensional Package $275+-$325+

Keratin Treatment $100/HR.

Extension Consultation

7

Please upload a picture of your current hair. The Back or side of the hair is preferred.

8

Feel free to upload a picture of your desired look.*optional

10

How would you describe your hair length?* This field is required.

Short (at or around hairline)

Medium (at or around shoulders)

Long (Collar bone to bra line)

Extra Long (past the bra line)

11

Please tell me about your hair history in the past 3 years.* This field is required.

I have colored my own hair

I have not colored my hair in the past 3 years.

I have gotten my hair colored and/or cut professionally in the past 3 years.

Other

12

Please tell me your availability.* This field is required.Check all that apply.

Mondays

Tuesdays

Wednesdays

Thursdays

Mornings

Mid Morning/Early Afternoon

Late Afternoon (Last appointment taken is 4;00 on Mondays and Tuesdays)

13

Is there anything else you would like to share about your hair, your hair history, or any expectations you may have for your hair appointment?*Optional