New Client Consultation Form

New Client Consultation Form

New Clients: Save TIME by filling out this form before your first visit!
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We love to create great healthy hair within our community! As a new client of pHd we will ensure that your service is customized to your needs! This form will expedite that process. Please give as little or as much information as you see necessary, knowing that a shared reality of your hair's history will enable us to best serve you.
Preferred Name*

First NameLast Name
Pronouns
Email*
example@example.com
Phone Number - *

Area CodePhone Number
These days work best for me

TuesdayWednesdayThursdayFridaySaturdaySunday
I prefer this time of day for my hair appointment:
Preferred Service Provider*
Check out each stylist and their social media at www.philadelphiahairdesign.com/team
Check this box if you would like a silent appointment

Yes, silent appointmentNo, let's chat
Send a Pic or Selfie of your hair currently. Best taken in indirect lighting. This is for consultation purposes and will not be posted online.

Browse Files

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Upload an inspiration photo! Let us know what your hair goals are!

Browse Files

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Do you know what services you would like to enjoy? Check all that apply.

I know what I want! Just need help booking.I'm not exactly sure what I want.
Service Options

Dimensional ColorSingle Process ColorHaircut (Long Hair)Barber Cut (Short Hair)TreatmentExtensions

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