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?
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First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / 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
Format: (000) 000-0000.
What is your Instagram Handle?
How did you hear about me?
*
Please Select
Referral
Instagram
Facebook
Google
Google My Business
Google Search
Other (Please specify...)
What is the name of the client who referred you to my business?
*
When is the last time you had your hair cut?
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Less than 4 weeks ago
1-2 months ago
2-4 months ago
4-6 months ago
6 months+
When is the last time you had your hair colored?
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I've never colored my hair
Less than 4 weeks ago
1-2 months ago
2-4 months ago
4-6 months ago
6 months+
What services do you you generally receive currently?
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Haircut
Curly Cut
Silk press
Chemical smoothing treatments
Chemical relaxer
Hair extensions
Twists or box braids
Ccolor
How would you describe your hair strand texture? Select as many as apply.
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Fine
Thick
Coarse
Smooth
Rough
Mainly straight
Wavy (type 2)
Curly (type 3)
Coily/Kinky (type 4)
How would you describe your hair density?
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Very thin/actively thinning
Thin
Medium/average
Thick
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.
*
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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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Thank you again for submitting this form! I can't wait to meet virtually.
-Destiny Johnson
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