OHS Clone New Client Consultation Form 2023

1
Name* This field is required.
First Name
Last Name
2
What are your Preffered Pronouns?
She/Her
He/Him
They/Them
All Pronuns
None
Rather Not Say
3
Email* This field is required.Please enter your email below
example@example.com
4
Phone Number* This field is required.
Area Code
Phone Number
5
City, State* This field is required.
6
How did you find Hair With Heart?
Instagram
TikTok
Facebook
Google
Yelp
Local Business
Met in Person
Referral from Friend
Social Media
Please Select
7
What's the name of your friend who referred you?
8
Are you looking to get color services?
YESNO
9
Check off all of the services you think you might need.
Grey Coverage
Balayage
Highlights
All Over Darkening
Haircut
Color Correction
Shadow Root
Lowlights
Smoothing Treatment
Conditioning Treatment
Product Recommendations
Toner
Styling Lessons
Vivid Colors
Other
10
What financial investment are you looking to make for your color?* This field is required.Please select the range that best suites your budget and lifestyle.
$160 - $240
$240 - $360
$360 - $480
$500 + (I want a MAJOR color change)
I don't have a budget
Other
11
I like working with Hair Artists who (select 4 total):If you need help picking a Hair Artist, we'll help match you based on your experience with stylists in the past:
Are Educational, they explain every step of what we're doing.
They're fun and bubbly! I like to have FUN at my appointments.
Are a little more quiet/reserved but very professional.
Are an expert in their specialty (they've been specialized for over 3 years).
Is newer in their artist journey.
Is extremely detail oriented and will take their time.
Is efficient with their cuts and color applications. Time is of the essence for me.
Is also an educator in their specialty.
Can tell me like it is. I like someone who is direct.
Can remember the tiniest of details about me and my interests.
12
How often would you like to come into the salon?* This field is required.Please select the range that best suites your budget and lifestyle.
Every 4 weeks (12x a year)
Every 6 - 8 weeks (6 - 8x per year)
Every 8 - 12 weeks (4 - 6x per year)
Every 12 - 16 weeks (3 - 4x per year)
2 x per year
1 x per year
13
Hair Density Examples
14
How would you describe your hair density/thickness?* This field is required.See Hair Density Photo Above for reference
Extra Light
Light
Light - Medium
Medium
Medium Heavy
Heavy
Please Select from Dropdown
15
Hair Length Chart
16
In the state that you wear it most often (Natural, Straightened, Smoothed, Curly etc.), How would you describe your hair length?* This field is required.
Short
Medium
Long
Extra Long
Please Select from Dropdown
17
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
18
What hair color/product did you use? Please Check all that apply.
From Sally's Beauty Supply
From Online
From Drugstore/Grocery Store
Box Dye
Overtone
Temporary Hair Color Rinse
Henna
Other
19
Which of the following apply:* This field is required.
I wear my hair up 5 or more days a week.
I have experienced hair loss recently.
I am allergic to metals.
I am on a medication that affects my hair.
I am allergic to latex.
I currently am having some concerns with my scalp health.
20
What type of consultation would you prefer?* This field is required.Filling out this form makes it less likely that we'll need a consultation prior to your appointment date but in case we do, which type would you prefer?
In Person
Video
21
Please upload 3 pictures of your hair currently. One from the front, one from the back, and one from the side.* This field is required.Have a friend or family member take them, please no selfies. 3 Pictures to take - front, side and back of hair. It's best to take these near a window in indirect sunlight.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
22
Please upload up to 2 inspiration pictures. * This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
23
What are you looking to get done? Is there anything else you'd like to share or anything else you'd like me to know?
Huge
Large
Normal
Small
Ok
Ok
24
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
25
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