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Welcome to our New Client Form!
Please fill out this form, and allow us to review and reply to make an appointment recommendation based on your desired results!
15
Questions
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1
NAME
*
This field is required.
FIRST NAME
LAST NAME
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2
EMAIL
*
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PLEASE NOTE EMAIL IS OUR DIRECT FORM OF CONTACT- PLEASE ENSURE THERE ARE NO SPELLING ERRORS :)
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3
Phone Number
PLEASE ENTER A VALID PHONE NUMBER.
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4
WHAT IS THE CURRENT LENGTH OF YOUR HAIR?
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5
WHAT IS THE CURRENT COLOR OF YOUR HAIR?
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6
WHAT IS YOUR HAIR TYPE?
FINE/THIN
MEDIUM
COARSE/THICK
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7
WHAT IS THE NATURAL TEXTURE OF YOUR HAIR?
STRAIGHT
WAVY
CURLY
COILY
COMBINATION
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8
WHEN WAS THE LAST TIME YOU....
< 90 DAYS
3-6 MONTHS
6-12 MONTHS
NEVER
HAD YOUR HAIR PROFESSIONALLY COLORED
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Row 0, Column 3
COLORED YOUR HAIR AT HOME OR USED BOX COLOR
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Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
RECIEVED CHEMICAL SERVICES (PERMS/RELAXERS)
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Row 2, Column 1
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HAD YOUR HAIR PROFESSIONALLY COLORED
COLORED YOUR HAIR AT HOME OR USED BOX COLOR
RECIEVED CHEMICAL SERVICES (PERMS/RELAXERS)
< 90 DAYS
Row 0, Column 0
3-6 MONTHS
Row 0, Column 1
6-12 MONTHS
Row 0, Column 2
NEVER
Row 0, Column 3
< 90 DAYS
Row 1, Column 0
3-6 MONTHS
Row 1, Column 1
6-12 MONTHS
Row 1, Column 2
NEVER
Row 1, Column 3
< 90 DAYS
Row 2, Column 0
3-6 MONTHS
Row 2, Column 1
6-12 MONTHS
Row 2, Column 2
NEVER
Row 2, Column 3
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9
WHAT SERVICES ARE YOU LOOKING TO HAVE DONE? PLEASE PROVIDE AS MUCH DETAIL AS POSSIBLE
*
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10
WHAT SPECIFIC COLOR SERVICE ARE YOU LOOKING FOR? SELECT ALL THAT APPLY:
*
This field is required.
ALL OVER COLOR
FULL HIGHLIGHT
PARTIAL HIGHLIGHT
LOW LIGHTS
COLOR BLOCK
VIVID/FASHION COLOR
GRAY COVERAGE
UNSURE
NO COLOR- CUT &STYLE ONLY
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11
PLEASE ATTACH AN IMAGE OF YOUR CURRENT HAIR
*
This field is required.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
JUST SNAP A QUICK PIC, WE DON'T REQUIRE ANYTHING FANCY :)
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12
PLEASE ATTACH AN INSPIRATION PICTURE OR AN IMAGE OF YOUR HAIR GOALS
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
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13
DO YOU HAVE A PREFERRED STYLIST?
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14
WHAT IS YOUR AVAILABILITY? PLEASE LIST ALL AVAILABLE DAYS AND TIMES OF THE WEEK.
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15
HOW DID YOU HEAR ABOUT US?
Please Select
INSTAGRAM
FACEBOOK
GOOGLE
REFFERAL
OTHER
Please Select
Please Select
INSTAGRAM
FACEBOOK
GOOGLE
REFFERAL
OTHER
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