New Client Application Template

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
Are you interested in making a Great Lengths Extensions appointment?* This field is required.
YESNO
5
Have you worn Extensions before?* This field is required.
YESNO
6
What type of Extensions have you worn in the past?* This field is required.
Hand Tied/Beaded Weft
I-tip/Kertain
Tape-In
Great Lengths, love them!
7
What are your hair goals?* This field is required.
Volume
Length & Volume
New Haircolor Transformation
Color Refresh
8
Upload photos of inspiration of your DREAM hair!
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
9
Upload photos of your current hair(please use natural lighting if you can and include all of your hair in the photo)Doesn’t have to be your best selfie, this is just to get an idea for timing and goals. Having someone else take it for you is helpful too!
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
10
I acknowledge Great Lengths extensions are a luxury service with a starting price of $975. I acknowledge Great Lengths require maintenance that includes daily brushing, blow drying and using salon quality product.* This field is required.
YESNO
11
Are you interested in making a color appointment?* This field is required.
YESNO
12
What services are you interested in?* This field is required.
Lived in Highlights
Grey Coverage
Full Transformation(much lighter)
Brazilian Blowout
Haircut
Not sure, I'd love to schedule an in person consultation first!
13
Tell me about your hair history for the past few years. What services are you currently having done? What are your struggles with your hair?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
14
Tell me a little about your dream hair.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
15
What is your current hair routine? What products are you currently using?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
16
How often are you hoping to schedule maintenance appointments?* This field is required.
4-6 weeks
8-10 weeks
6-8 weeks
12 weeks+
17
Upload photos of your DREAM hair inspiration
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
18
Upload photos of your current hair(please use natural lighting if you can and include all of your hair in the photo)Doesn’t have to be your best selfie, this is just to get an idea for timing and goals. Having someone else take it for you is helpful too!
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
19
When is your availability?* This field is required.This doesn’t guarantee your appointment will fall on this day, it just helps me get a good idea on days that might work best with your schedule!
10am - 12pm
12pm- 3pm
3pm -5pm
Wednesday
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Row 0, Column 1
Row 0, Column 2
Thursday
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Friday
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Saturday
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Wednesday
Thursday
Friday
Saturday
10am - 12pm
Row 0, Column 0
12pm- 3pm
Row 0, Column 1
3pm -5pm
Row 0, Column 2
10am - 12pm
Row 1, Column 0
12pm- 3pm
Row 1, Column 1
3pm -5pm
Row 1, Column 2
10am - 12pm
Row 2, Column 0
12pm- 3pm
Row 2, Column 1
3pm -5pm
Row 2, Column 2
10am - 12pm
Row 3, Column 0
12pm- 3pm
Row 3, Column 1
3pm -5pm
Row 3, Column 2
1 of 4
20
How did you hear about Keen Hair Co.?* This field is required.
Instagram
Facebook
Website
Referral
21
I'd love to connect with you on social- drop your handle here!
22
Who referred you, so Keen Hair Co. can thank them!* This field is required.
Should be Empty: