Jane Maldy Digital Consultation Form
Welcome to my business! I can’t wait to meet you soon! This digital consultation form will allow me to get to know you and your hair goals so that I can ensure your initial appointment is booked properly. Please complete the form in full and I’ll be in touch within 24 hours of your request. If you have any questions or need support please email me at jane@hairbyjanemaldy.com.
What is your full name?
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First Name
Last Name
Pronoun
What is your email address?
*
Please note, I will be reaching out by email to confirm your appointment
Phone Number
*
Please note, I will respond by text to confirm your appointment
Format: (000) 000-0000.
What is your mailing address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is your Instagram Handle?
How did you hear about me?
*
Please Select
Referral
Instagram
Facebook
Yelp
Google My Business
Google Search
Other (Please specify...)
Tell me more about how you found us
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What is the name of the client who referred you to my business?
*
What is your budget for this requested appointment?
This will help me determine the best service to book you for.
When is the last time you had your hair cut?
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Less than 4 weeks ago
1-2 months ago
2-4 months ago
4-6 months ago
6 months+
When is the last time you had your hair colored?
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I've never colored my hair
Less than 4 weeks ago
1-2 months ago
2-4 months ago
4-6 months ago
6 months+
What services do you you generally receive currently?
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Haircut
Weekly styling services
Professional conditioning treatments
Chemical smoothing treatments
Chemical relaxer
Perm
Hair extensions
Gray coverage hair color
Overall hair color shift without gray coverage
Highlights
Balayage blonding
Bleaching/extensive blonding
Vivids color (fun color all over or in select areas)
Home box color from a drug store
What type of extensions have you worn most recently or are you wearing now?
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Micro-link weft application
Tape-In application
Beaded application
Fusion application
Sewn-in application
Temporary/clip-in extensions
Unsure of application method
Do you currently have extensions installed in your hair?
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Yes
No
How would you describe your hair strand texture? Select as many as apply.
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Fine
Thick
Course
Smooth
Rough
Mainly straight
Wavy
Curly
Coily/Kinky
How would you describe your hair density?
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Very thin/actively thinning
Thin
Medium/average
Thick
What services are you looking to book at our first appointment?
Haircut
Weekly styling services
Professional conditioning treatments
Hair extensions
Gray coverage hair color
Overall hair color shift without gray coverage
Highlights
Balayage
Bleaching/extensive blonding
Vivids color (fun color all over or in select areas)
Color correction
Other
Tell me more about why you are requesting a color correction?
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Tell me more about your goals with your color service? What would be your ideal outcome?
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What are you goals with hair extensions?
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I'd like my hair to be as long as possible
I'd like my hair to be a 2"-3" longer than it is now
I'd like my hair to 4"-6" longer than it is now
I'm looking to blend a haircut I'm growing out
My hair is thin and increasing density is a primary concern
What days/times are you available? I will make every effort to get you in as soon as possible in line with the information you enter here. The more available you are, the faster I will be able to get you in.
Weekdays 10am-12pm
Weekdays 12pm-4pm
Weeknights 4pm-6pm
Weekends 10am-12pm
Weekends 12pm-4pm
Weekend evenings 4pm-6pm
I will make anything work, I just need to get in ASAP
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.
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Please upload 1-2 photos of your hair goals. You can find inspiration photos through google image search, Instagram, Pinterest or anywhere else you've seen hair you admire.
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