Thrivers Society Digital Consultation Template

Destiny's Place Digital Consultation Form

Welcome to Destiny's Place! I can’t wait to meet you soon. If you are filing out this form, it means you have books a FREE virtual consultation. This consultation is only 15 minutes long. To make our time together count, I'd like you to fill out this for at least 24 hours BEFORE your consultation. Thank you for your time and CONGRATULATIONS on taking a step towards a healthy hair journey!
What is your full name?*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
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?
How did you hear about me?*
What is the name of the client who referred you to my business?*
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 you generally receive currently?*

HaircutCurly CutSilk pressChemical smoothing treatmentsChemical relaxerHair extensionsTwists or box braidsCcolor
How would you describe your hair strand texture? Select as many as apply.*

FineThickCoarseSmoothRoughMainly straightWavy (type 2)Curly (type 3)Coily/Kinky (type 4)
How would you describe your hair density?*

Very thin/actively thinningThinMedium/averageThick
What made you want to book a virtual consultation? What else would you like me to know about your hair?
Please upload 2-3 photos of your hair as it looks today. We would like to see it from the back and the front, unfiltered.*

Cancelof
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.

Cancelof
Thank you again for submitting this form! I can't wait to meet virtually.

-Destiny Johnson
Should be Empty:

Destiny's Place Digital Consultation Form