Virtual Consult

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Name* This field is required.
First Name
Last Name
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Email* This field is required.
example@example.com
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Phone Number* This field is required.
Please enter a valid phone number.
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How Did You Hear About Me?* This field is required.
Instagram
Facebook
Friend
Other
5
What Services Are You Interested In?* This field is required.
Custom Color and Extensions
Custom Color Only
Extensions Only
6
Please Upload Pictures of Your Current Hair if You Have AnyPictures of the front, back, and sides of your hair are most helpful!
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Please Upload Any Inspiration Photos You HaveAdd as many as you'd like! Even if they seem completely different.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Please Include a Brief Description of Your Hair History* This field is required.Include any color either professional or over the counter you've had in the last three years (five if your hair is past shoulder length), even if it is faded out! This includes Overtone, semi permanent color, or color bought from drug stores, Sally's, or Ulta. Keep in mind this information is crucial in keeping your hair healthy going forward.
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Large
Normal
Small
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Ok
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Do You Have Any Other Concerns You'd Like To Address?* This field is required.
Lack of Shine
Breakage
Dryness
Dry Scalp
Product Build Up/Hard Water
None of These
Other
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I currently work Wed-Fri and every other Saturday, does this work with your schedule? * This field is required.(please note Saturdays are typically booked 4-6 weeks out)
YESNO
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Have you worn hair extensions before?* This field is required.
YESNO
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What are you hoping to achieve with hair extensions?* This field is required.
Length
Longer, thicker hair
Filling in sparse sides
Density
Fun color without the commitment
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How much time are you willing to dedicate to styling and maintaining your hair and the extensions?* This field is required.
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Large
Normal
Small
Ok
Ok
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Are you willing to use the products recommended for your hair extensions?* This field is required.
YESNO
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Hair extensions have a starting range of $900-$2900. Price fluctuates depending on how many pieces of hair are needed to deliver the result you desire. Can you confirm this is within your budget?* This field is required.
YESNO
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In order to secure your hair extension appointment, a down payment of 50% is required. This down payment is nonrefundable and nontransferable. If you cancel the appointment, your down payment will be forfeit. Do you agree to these terms?* This field is required.
YESNO
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Do you consent to your hair being photographed or filmed for the purpose of social media content and/or used in classes for educational purposes?* This field is required.
YESNO
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Terms and Conditions* This field is required.I understand this is a general consultation form designed by Samantha to determine which services I am best suited for and if she is the right stylist to help me achieve the hair of my dreams. By submitting this form I understand that I do not have an appointment booked and it does not guarantee an appointment.
Yes, I understand!
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Signature* This field is required.
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