BOOK NOW Consultation Form

1
First Name* This field is required.
2
Last Name* This field is required.
3
Email* This field is required.
example@example.com
4
Phone Number* This field is required.
Area Code
Phone Number
5
Address
Street Address
Street Address Line 2
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Nagorno-Karabakh
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Other
Country
6
How did you find Maila Wheeler?
Instagram
Facebook
Google
Yelp
Local Business
Met in Person
Referral from Friend
Social Media
7
What's the name of your friend who referred you?
8
Are you ONLY looking to book a haircut?* This field is required.Maila is currently doing combined color and haircut services. If you are looking for a haircut only service, we will be happy to set you up with another amazing stylist at Maven & Co!
YESNO
9
At this time, Maila is not accepting new Haircut Only guests. If you feel this may be a mistake, please email Maila directly at mailawheelerhair@gmail.com. If you'd like to get a color done, please continue with the application.

All color packages include a haircut and start at $170+
10
Check off all of the services you think you might need.* This field is required.
Grey Coverage
Balayage
Highlights
All Over Lightening
All Over Darkening
Haircut
Clipper Cut
Color Correction
Shadow Root
Lowlights
Conditioning Treatment
Product Recommendations
Toner
Styling Lessons
Other
11
Please upload a photo of your current hair (please be sure your hair is down, air dried and in natural, indirect sunlight)
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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12
Please upload a picture of your goal
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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13
Image Field
14
Based upon Maila's Service Menu, what Service Package are you thinking you may need?* This field is required.
Revive + Renew $190 (Root Touch Up Package)
Reset $275 (Partial Highlight Package)
Reignite $315 (Full Highlight Package)
Ritual Refresh $170 (Haircut + Gloss Package)
Extensions Application $350+
Other
15
Hair Density Examples
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How would you describe your hair density/thickness?* This field is required.
Extra Light
Light
Light - Medium
Medium
Medium Heavy
Heavy
17
Hair Length Chart
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In the state that you wear it most often (Natural, Straightened, Smoothed, Curly etc.), How would you describe your hair length?* This field is required.
Short
Medium
Long
Extra Long
19
Your hair history within the last 3+ years.* This field is required.
I have colored my own hair.
I have not colored my hair in 3+ years.
I have only gotten my hair colored professionally.
I have both colored my own hair & gotten it professionally colored.
Other
20
What hair color/product did you use? Please Check all that apply.
From Sally's Beauty Supply
From Online
From Drugstore/Grocery Store
Box Dye
Splat
Overtone
Temporary Hair Color Rinse
Other
21
In your own words, what are you hoping to achieve during our session? Is there anything else you'd like to share?
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