BINX's TATTOO CONSULTATION FORM
Please answer all following questions
Full Name
*
First Name
Last Name
Pronouns
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
When you came into this world
Location
*
City
State / Province
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
How did you hear about me?
*
Please Select
A Friend
Client Referral
Google
Instagram
Other
Please Specify how if you chose the "other" option
Occupation
What's your comfort movie?
*
Will this be your first tattoo?
*
Yes!!! Can't wait!
Nope! Just adding to the arsenal!
Size of the desired tattoo?
*
give me inches x inches 5" x 5" for ex.
What is your budget?
*
My minimum is $100
What Style are you looking for
*
Black & Gray
Color
Illustrated
Realism
Collage
Geometic (that's spelled right)
Fineline
Where are we placing this tattoo?
*
forearm, lower leg, shoulder, etc.
Is this tattoo a coverup
*
Yes!
Nope!
Add on
Touch up
If you answered "Yes," to the previous question please provide a picture of the EXISTING tattoo.
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This is super helpful for me to give you the best consultation.
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Pick one
*
Pirate
Alien
Ninja
Cowboy
What do you want to get tattooed? Give me details, your vision, the mood, the story, all the things!
*
Tell me all your secrets!
What are the main must-have subjects?
*
absolutely must have ________!
What are the secondary subjects?
*
If we can fit it in I'd like ___________!
Are you allergic to anything?
*
Will you want to build off this tattoo later on?
*
Do you plan on adding to it in the future?
Please tell me the estimated time frame you're looking to get tattooed
*
in the next couple of weeks? In June? let me know!
Please give me 2 different reference examples of tattoo style
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please give me 2 different reference examples of tattoo style
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
At last, Where would your dream vacation destination be?
Submit
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