New Client Request Form

New Client Request Form

This form will make sure that The Fox Hair Lounge is the right fit for your needs, and upon approval give you instructions on how to book your first appointment. Otherwise, if it doesn't seem to be the right fit, we'll send you some recommendations! *Please note we are currently not accepting new haircut only clients. All haircuts must be paired with a color service. Thank you!
Full Name*

First NameLast Name
Gender

MaleFemale
Email Address*
example@example.com
Phone Number*
How did you hear about Juliana?*

InstagramGooglePersonal Referral
If referral, let me know who I can thank!
When was your last color service?*

0-3 months ago3-6 months ago6-9 Months AgoOver a Year Ago
What is your hair density?*

FineMediumThick
What is your hair texture?*

StraightWavyCurly
Is your hair currently colored?*

YesNo
What is your natural hair color?
How long is your hair?
How do you style your hair?
What services are you looking for?*
Photo of your current hair (1 in in-direct sunlight 1 inside)*

Cancelof
Inspiration photo*

Cancelof
What did you dislike about your last hair service/color?
Have you ever had any sensitivity or reaction to any scalp-related treatments or chemicals?*
What times are you available to start an appointment?*
Should be Empty: