Appointment Request Form
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
What is your Instagram username? This is how I will contact you.
If you don’t have instagram provide the best way to contact you.
Have you ever been to the Brunette Rose before?
*
Yes
No
If yes, who did you see?
What is your current hair length?
*
Short (above the shoulder)
Medium (collar bone to armpit)
Long (shoulder blade or longer)
How would you describe the current condition of your hair?
*
Healthy
Slightly damaged
Severely damaged
How frequently are you washing your hair?
*
Daily
Every other day
Every few days
Once a week
Other
How would you describe the density of your hair?
*
Fine
Medium
Thick
Very thick
Do you currently have professional color on your hair right now?
*
Yes
No
Do you currently have any color on your hair right now?
*
Yes
No
When was the last time you colored your hair?
*
Did your last color take place at a salon?
*
Yes
No
Please describe your last three hair services
(Ex. Haircut in April, highlight and cut in July, haircut in September)
What products are you currently using at home?
Shampoo, conditioner, treatments, styling products
Please add current photos of your hair
*
Browse Files
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Choose a file
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of
Please add 2-5 inspiration photos
*
Browse Files
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Is there anymore information you want to share with me?
Ex. Anything you dislike about your hair, any allergies or reactions that have occurred in the past
Do you have a budget? If yes what is the range?
*
Ex. I’d like to stay under $300
When would be easiest for you to come into the salon? I’m in the salon Wednesday - Saturday. Please be as specific as possible about time of day!
*
Ex. Wednesday mornings between 10 AM and 12 PM
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