New Client Form

Sam Palmer Hair Consultation Form

This form allows me to get to know you and your hair goals so that I can ensure your initial appointment is booked properly. Please complete the form in full prior to scheduling your appointment. I will review it and contact you if we need to make any adjustments to your selected appointment (Additional time, services, etc.)
What is your name?*

First NameLast Name
What is your email address? *
Please note, I will be reaching out by email to confirm your appointment
Phone Number*
Please note, I will respond by text to confirm your appointment
What is your Instagram Handle if you have one?
How did you hear about me?*
If referred, who referred you so that I can thank them!
When is the last time you had your hair cut?*

Less than 4 weeks ago1-2 months ago2-4 months ago4-6 months ago6 months+
When is the last time you had your hair colored?*

I've never colored my hairLess than 4 weeks ago1-2 months ago2-4 months ago4-6 months ago6 months+
What services do you receive currently on a regular or semi-regular basis?*

HaircutWeekly styling servicesChemical smoothing treatmentsChemical relaxerPermHair extensionsGray coverage hair colorOverall hair color shift without gray coverageHi-lights (traditional foils)Balayage blondingBleaching/extensive blondingVivids color (fun color all over or in select areas)None
Do you currently have extensions installed in your hair?*

YesNo
How would you describe your hair strand texture? Select as many as apply.*

FineThickCourseSmoothMainly straightWavyCurlyCoily/Kinky
How would you describe your hair density?*

Very thin/actively thinningThinMedium/averageThick
What services are you looking to book at our first appointment?*

HaircutWeekly styling servicesProfessional conditioning treatmentsHair extensionsGray coverage hair color (with or without blonding services)Overall hair color shift without gray coverageBlonding (Traditional foils or balayage)Color correction
If you selected Color Correction, tell me a bit more on why you selected that.
Tell me more about your goals with your color service? What would be your ideal outcome?
What days/times are you typically available? We will make every effort to get you in as soon as possible in line with the information you enter here, for recurring appointments.

Weekdays 8:30am-12pmWeekdays 12pm-4pmWeeknights 5pm or laterI will make almost anything work, I'm flexible
Is there anything else we should know before booking your appointment?
Please upload 1-2 photos of your hair as it looks today. Taken in natural light is preferred, with no filter *

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Please upload 1-2 photos of your hair goals. You can find inspiration photos through google image search, Instagram, Pinterest or anywhere else you've seen hair you admire.

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After submitting this form, Sam wil review the information and your appointment time/services/pricing may be adjusted or increased based on your current hair/goals detailed in this form.

Your appointment in salon will begin with a 10-15 minute full consultation to refine the plan for service and solidify pricing for that day's service.

Generally, new guests are able to be seen within 1-3 weeks of desired appointment times, but guests with limited availability may have to wait up to 4 weeks to be seen.

CLIENT: "I understand that if I need to cancel my appointment for any reason, I will let Sam know as soon as possible, out of courtesy. However, if I 'No Show or No Call' an appointment, I may be banned from booking future appointments with the salon."

By clicking the submit button below, I agree to these terms.
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Sam Palmer Hair Consultation Form