PVP First Service Consultation Form

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Don't worry, this form is short!

Hello! Thank you for considering me to take care of you! Filling this out will give me all the information I need to get you booked ASAP and give you a quote.

I normally get back to these inquiries quickly. Please be sure to check your spam inbox for my reply email.

Let's do this!
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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.
Area Code
Phone Number
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How'd you find Jillian Petersen?
Instagram
Facebook
Google
Yelp
Local Business
Met in Person
Referral from Friend
Social Media
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What's the name of your friend who referred you?
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Are you ONLY looking to book a haircut?* This field is required.This will skip the portion of colour questions.
YESNO
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Check off all of the services you think you might need.* This field is required.No pressure here if you're not sure! Just answer to the best of your abilities.
Grey Coverage
Balayage
Highlights
All Over Lightening
All Over Darkening
Haircut
Clipper Cut
Color Correction
Shadow Root
Lowlights
Conditioning Treatment
Product Recommendations
Toner
Styling Lessons
Other
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Your hair history within the last 3+ years.* This field is required.
I have colored my own hair.
I have not colored my hair in 3+ years.
I have gotten my hair colored professionally.
Other
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What hair color/product did you use? Please Check all that apply.* This field is required.
From Sally's Beauty Supply
From Online
From Drugstore/Grocery Store
Box Dye
Splat
Overtone
Temporary Hair Color Rinse
Other
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Image Field
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Based upon Jillian's Service Menu, what Service Package are you thinking you may need?* This field is required.
The Colour Touchup
The Colour Revival
The Half Colour Transformation
The Full Colour Transforamtion
Extreme Colour Transformation
Other
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Please add an image of your current hair in natural indirect lighting. * You must click the upload button after adding your image** This field is required.This is very helpful and will reduce the chance of me needing to see you in person prior to our appointment.
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Please upload an image of your dream hair/ desired results * You must click the upload button after adding your image** This field is required.I need to know what your desired outcome is in order to serve you properly.
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Did You Like your Colour last time?* This field is required.
YESNO
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How Dense is your Hair* This field is required.This is the total amount of hair, not if it is soft or coarse.
Extra Light
Light
Light Medium
Medium
Heavy Medium
Heavy
Extra Heavy
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How Long is your Hair?* This field is required.Pick whichever looks closest
Short
Medium
Long
Extra Long
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What are you looking to get done? Is there anything else you'd like to share?
Huge
Large
Normal
Small
Ok
Ok
Should be Empty: