Consultation Form

1
What is your full name?* This field is required.
First Name
Last Name
2
What is your email?* This field is required.
I will be reaching out via email to confirm an appointment
3
What is your phone number?* This field is required.
Please enter a valid phone number.
4
What is your instagram handle?* This field is required.
@instagram
5
How did you hear about me?* This field is required.
Please Select
Please Select
Instagram
Tik Tok
Referral
Google
Other
6
What service are you interested in?* This field is required.Please select all that apply!
Custom Blonde Package
Custom Brunette Package
Ultimate Blonde Package
Custom Copper Package
Custom Vivid Package
Haircut
Honestly, no idea!
7
Do you have a budget?* This field is required.
New Client appointments start at $440
8
Please upload 4 photos of your current hair* This field is required. One from the front, one from each side, and one from the back with your hair down.
Drag and drop files here
Select files to upload
Max. file size: 2.6MB
Cancelof
9
Please upload 3 photos of your dream hair color* This field is required.Preferably inspiration photos with your same natural color.
Drag and drop files here
Select files to upload
Max. file size: 2.6MB
Cancelof
10
Have you had any of the following done in the last 3-5 years?* This field is required.
Box Color
Splat!
Overtone pigment conditioner
Permanent Color
Highlights/Lightening Services
Perms/Relaxers
Vivids
11
In your own words, please describe the last 3-5 years of your hair color history* This field is required.
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Ok
12
Do you struggle with any of the following?* This field is required.
Lacking Volume
Dry/Frizzy
Greasy/Waxy
Over-processed/breakage
Other
13
If you selected other, please describe your hair struggles* This field is required.
14
Please list your current product routine + the brands* This field is required.
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Ok
15
Please list any other comments, questions, or concerns you may have* This field is required.
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Ok
16
* This field is required.I have completed the consultation form to the best of my ability and the information provided is accurate. I understand that it could take up to 5 days for a response to my inquiry and acknowledge there could be up to an 8 to 10 week wait for an appointment. Please reach out via email or instagram DM if you have not received a response in 3-5 days. @erincolorshair or erin@wildmaneatx.com
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