New Color Client Request Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
How were you referred to me?
*
Would you like a haircut also?
*
Yes
No
What would you estimate is the percentage of grey hair you naturally have?
*
None
Less than 10% (just a few)
25%
50-100%
75-100%
What would you like done overall with your hair color?
*
Give me your hair color/chemical history for the past 3-5 years.
*
What is the density of your hair?
*
Thin
Medium
Thick/dense
Extra thick/dense
What is the growth pattern of your hair?
*
Straight
Wavy
Curly
Extra Curly
Extra Extra Curly
Coils
What is the texture of your hair?
*
Fine
Medium
Course
Type option 4
Upload a picture of your hair currently.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload photos of inspiration for this appointment
*
Browse Files
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of
Submit
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