Great Lengths Consultation
Welcome I can’t wait to meet you. This form allows me to get to know you and your hair goals so that I can ensure your initial appointment is booked properly. Please complete the form in full and I’ll be in touch within 24 hours of your request. If you have any questions or need support please email me at rachel@rachelosalonsuite.com
What is your full name?
*
First Name
Last Name
Pronoun
What is your email address?
*
Please Keep an eye on your in box. email is my preferred form of communication. Be sure to check your junk mail incase my Emil get sent there.
Phone Number
*
Please note, I will respond by text to confirm your appointment
Format: (000) 000-0000.
What is your mailing address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is your preferred way to communicate? This is the way I will be reaching back out to you.
Text message
Phone Call
E-mail
Instagram DM
What is your preferred social media outlet?
Instagram
Face Book
Tik Tok
I don’t use social media
Please share your instagram or tik tok handle I love to seeing what my clients are into!
How did you hear about me?
*
Please Select
Referral
Instagram
Facebook
Yelp
Google My Business
Google Search
Other (Please specify...)
What is the name of the client who referred you to my business?
*
What are your hair goals with Great Lengths?
Have you ever had hair extensions before?
*
Yes
No
If yes what method of extensions do you have?
Did you experience any hair loss or damage to your natal hair from having extensions? If yes please elaborate.
Are you interested in Great Lengths to help "grow out" your hair from its current condition?
How would you describe your hair density?
*
Very thin/actively thinning
Thin
Medium/average
Thick
What is the longest your hair will grow?
How long do you want your hair?
Where do you want to add volume?
Bottom of the hair
Sides of the head
Back of the head
crown
All throughout
Where would you like to add length?
Bangs
Sides
crown
All throughout
What services do you receive?
Root color
Highlights/blonding
haircuts only
keratin treatments
other
How often do you receive these services?
What is your normal maintenance program for your hair?
What Hair products do you currently use at home and how often?
Does your hair tangle easily
Yes
No
Have you been Ill, had surgery or been on any medications in the past 6 months or year? If yes please elaborate.
Are you planing to have any surgery in the next 6 months?
Yes
No
Do you have any allergies?
What days/times are you available? I will make every effort to get you in as soon as possible in line with the information you enter here. The more available you are, the faster we will be able to get you in.
Tuesday's 10am-5pm
Wednesdays 10am-3pm
Thursdays 9am-5pm
Fridays 9am-3pm
I will make anything work, I just need to get in ASAP
Do you have any medical conditions that may interfere with this service? IE: migraine, history of scalp problems.
Are you currently experiencing an unusual amount of hair loss? Reason: chemotherapy, stress, pregnancy, alopecia, hormones, etc.
Work out or sports actives:
Do you use tanning beads? If yes how often.
Any questions or concerns regarding the service.
Is there anything else we should know before booking your appointment?
Please upload 2-3 photos of your hair as it looks today. We would like to see it from the back and the front, unfiltered.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload 1-2 photos of your hair goals. You can find inspiration photos through google image search, Instagram, Pinterest or anywhere else you've seen hair you admire.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Model release form: I give my permission to Rachel at The Hair Revival to show or use all before and after pictures in public. I will not receive any gratuity or fee.
Submit
Should be Empty: