Priya's New Client Form

1
Name* This field is required.
First Name
Last Name
Instagram Handle
2
Email* This field is required.
example@example.com
3
Phone Number* This field is required.
Area Code
Phone Number
4
Birthday* This field is required.Month & Date
5
How did you hear about Priya?* This field is required.
Salon Website
Salon Instagram
Google
Referral
Priya's Instagram
TikTok
6
Are you wanting to make an appointment for Rosewood Row extensions?* This field is required.(This is our hand tied hidden bead method. Extension hair is a separate cost and will be discussed during your consultation.)
YESNO
7
Have you worn extensions before?* This field is required.
YESNO
8
What methods have you tried?* This field is required.
Sew In
I-tip/keratin
Handtied/beaded weft
Tape-Ins
Other
9
What was your overall experience with this method?* This field is required.
10
What are you hoping to achieve with the addition of hair extensions?* This field is required.
11
Which of the following best describes your hair?* This field is required.
Fine/Thin
Medium/Average
Coarse/Thick
12
Which one of the following best describes the amount of hair you have?* This field is required.
Very Little
Medium
Thick
Super Thick
13
Which of the following applies to your current length (without extensions)* This field is required.
Chin Length or Shorter
Chin Length to Shoulder
Shoulder Length to Mid Back
Mermaid - Mid Back or Longer
14
Which of the following best describes your CURRENT hair?* This field is required.
Healthy Overall
Healthy Overall But With Dryness
Slilghtly Compromised Damaged
Over Processed -HELP
15
Are you interested an color appointment?* This field is required.
YESNO
16
Are you looking to change your current color?* This field is required.
Yes, I'm Looking For Something NEW
Yes, But Nothing Major
No, I Like My Current Color
17
What color service are you interested in?* This field is required.
Grey Coverage
Balayage
Highlights
All over one color
18
Have you used at home hair color in the last year?* This field is required.
YESNO
19
What is your hair history? What colors/chemicals have done in the past?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
20
How often would you like to have your color service done?* This field is required.
4-6 weeks
Every 6 months
12-16 weeks
Once a year
21
What other services are you interested in?* This field is required.(all inclusive pricing means I will do all the things to complete your look within quoted time )
Hair Cut
Style/Blowdry
Treatment
Brazilian Blowout
22
Do you have any particular concerns or anything you'd like for me to know? (hair loss, excessive breakage etc)* This field is required.
23
Front View* This field is required.If hair is past shoulders please pull forward to be seen from the front
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
24
Side View* This field is required.preferably upload a photo of each side please
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
25
Back View* This field is required.Please pull all length to the back and include entire length in photo
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
26
Inspiration Photos* This field is required.Upload photos of hair you like
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
27
When are you available ?* This field is required.(This is NOT the booking system)
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My hourly rate is $175. We are a gratuity-free salon. Depending on your hair goals and the services you choose, I will provide you with a quote detailing how long it will take to achieve your desired look. Having full knowledge of the financial commitment, timeline, & guidelines to obtain and maintain your hair services of choice, are you prepared to make the investment for your hair experience?* This field is required.
YES, Give Me Beautiful Hair
NO, I Can Not Invest At This Time
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