Consultation Form

Client's Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Date of Birth

Date

Email

example@example.com

Select an appointment

Select a hair service

Upload an image of hair style or hair color you prefer

You can upload multiple files here

Upload an image of your current hair

You can upload multiple files here

How long is your hair?

Other

What is the current condition of your hair?

How often do you go to the salon?

What was your last chemical service?

How often do you apply shampoo and conditioner in your hair?

What is the condition of your scalp?

Other

Have you use the following in your hair before?

How do you style your hair at home?

When did you last visit a hair salon?

Date

When did you last apply professional or unprofessional color in your hair?

Are you taking any medications? If yes, please list them below:

Kindly list the hair products that you are using

What are the tools you are using to style your hair?

How did you hear about us?

It referred by a person, please share their first and last name down below

Any special instructions, comments, or suggestions?

POLICIES

1. Cancellations/ Rescheduling: Hi friends! I charge half of your service fee, if the appointment is not cancelled within a 24 hour notice. My time and resources are valuable in this industry, thank you for understanding.

2. No call / No show: Please give a weeks notice for cancelling/ rescheduling.I understand emergencies happen as well,so please communicate with me and we can reschedule you for another time. IF cancelling is quite frequent, I will no longer offer my services.

3. Right to refuse service: I prioritize healthy hair for all of my clients. So if I feel your hair goal will compromise your hair for any reason, I have the right to seek out other options in order to keep your hair healthy and beautiful.

4. Customize Hair: Please show me any inspo picture for your hair journey and I will do my best to give you exactly what you want. However, all inspo is inspo. I won't be able to do anything identical to a picture depending on your hair history and how your hair lifts. During your consultation, I will let you know if we can achieve your hair goal, if not, I will help with an alternative option that will be just as beautiful!

5. Is it the right fit for you? I will do my best during your consultation to be 100% honest with you if your inspiration picture is the right fit for your skin tone, undertone, and styling. Everyones hair is different so your hair can lighten and fade differently than your inspo picture. However, if you feel your inspo picture doesn't look good on you, I cannot offer free fixes or refunds. I will be able to redo the color in a different appointment with the full pricing of a toner.

6. Refunds/ Redos: I cannot offer refunds under any circumstances. However, if you're unhappy with your hair, and it's far from what we discussed, I'll be more than happy to fix it for free. If it's exactly what we discussed and you don't like it, I will be able to fix it but with full pricing of a toner.

7. Maintenance: Please follow all of my maintenance instructions to guarantee my work will last for 4-6 weeks! Such as using products recommended, washing schedules, etc! I will always recommended products, water temperatures, and maintenance appointment scheduling during your appointment. Please follow my instructions to maintain long lasting beautiful hair!

8. I accept ONLY these forms of payment such as Zelle, TAP friendly debit/credit cards, Venmo, Apple pay as well as checks/ EXACT cash for your appointment, thank you!

By signing below, I agree to the terms and conditions of the Diosa Hair Salon Company policies and Jaclyn Reitz (hairstylist) is not responsible for any chemical damage (bleach, compromise hair, alkaline perm, and skin abnormalities as well as any medication prescribed for the client that can affect their hair service) after providing an consultation with the client.

Client's Signature

Date Signed

Date