Form

Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Are you interested in booking a haircut only service or perm service? Unfortunately, I am only accepting new hair color clients. Hair color is my passion and expertise that I am currently focusing on.

YesNo
When was the last time you had your hair colored?

Less than 4 weeks ago1-2 months ago2-4 months ago4-6 months ago6+ months agoNever
Which services do you generally receive at your appointments? Check all that apply.

haircutgray coverage hair coloroverall color shift without gray coveragedimensional services (i.e. foils or balayage)straightener
What service would you like to receive at your first appointment? Your answer will help me make sure that we get you booked correctly.

Gray coverage hair color onlyOverall color shift without gray coverageGray coverage and a very few foils for minimum dimensionDimensional service refresh (i.e. foil highlights or balayage and it has been less than 6 months since your last dimensional serviceDimensional service for the first time ever (i.e. highlights or balayage)StraightenerI'm not sure, I need your help
Have you used any of the following within the last 2 years? Please check all that apply

PermHome Box ColorVivid colors (i.e. blue, pink, purple, etc)LightenerSplat/Henna/Overtone/IonThyroid Medications/AnesthesiaMinoxidil/RogaineThermal StraighteningNone of the above
Have you ever had an allergic reaction to hair color or hair products?

YesNo
What length is your hair currently?

Short (back hairline and above)Medium (collar and above)Long (below collar)
What color is your natural hair?

Black/dark brownMedium brownLight brownBlondeGray/WhiteAuburnRed
How did you hear of me?

Friend or family memberGoogleBingFacebookInstagramYelpOther
Who were you referred by? I'd love to thank them
Please describe anything about your current hair and your hair goals that may help in deciding how to schedule you. Any information helps!
After submitting this form you will be redirected to my booking page. If you know what you'd like to book, please do so.

If you are unsure of what to book, or if I need more information from you, I will send you a text so be sure that your phone number that you've shared in this form is able to receive texts.
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