New Guest Pre Consultation Form

New Guest Pre Consultation Form
Full Name*

First NameLast Name
Email
example@example.com
Phone Number*
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about me?*
Please enter the name of the person who referred you
What type of service are you interested in?

House CallSemi-Permanent ColorPermanent ColorHighlightsBalayageGray BlendingI am not sureI only want a Hair cut
When is the last time you had your hair cut?

Less than four weeks ago1-2 months ago2-4 month ago5-6 month agomore than 6 months ago
When is the last time you had your hair colored?

Less then 4 weeks ago1-2 month ago3-4 month ago4-6 month agoI never color my hair
What services do you you generally receive currently?

Hair CutDeva CutProfessional conditioning treatmentChemical smoothing treatmentChemical relaxerPermHair extensionGrey coverage hair colorOverall hair color shift without grey coverageHigh liftBalayage blondingBleach/extensive blondingVivids color(fun color all over our selected area)Other
How would you describe your hair strand texture? Select as many as apply.*

FineThickCourseSmoothRoughMainly straightWavyCurlyCoily
How would you describe your hair density?*

Very thin/actively thiningThinMedium/averageThick
What is the length of your hair?

Pixie styleTop of shoulders are shorterBetween shoulders and bottom of shoulder bladeBetween bottom of shoulder blade and waistWaist length are longer
What days are you available? I will make every effort to get you in as soon as possible in line with the information you enter here.

TuesdayWednesdayThursdayFridaySaturdayI will make anything work. I just need to get as soon as possible.
Please upload 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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Please upload photos of your hair as it looks today. I would like to see it from the back and the front, unfiltered. Indirect natural light is ideal.*Browse FilesDrag and drop files here

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Is there anything else we should know before booking your appointment?
Date Signed

MonthDayYear
Date
Client's Signature
Should be Empty: