Digital Consultation Form

1

Name* This field is required.

First Name

Last Name

2

Phone Number* This field is required.

Please enter a valid phone number.

3

Email* This field is required.

example@example.com

4

When we reach out to schedule an appointment we do require a credit card on file per our cancellation policy* This field is required.You will not be able to book at our salon with out a card on file or pre-payment of the service.

Yes, I understand

No, I do not agree

5

Type yes in the next box, to confirm you have read our Salon Guidelines (cancellation policy)

6

Type yes, you've read over our Salon Guidelines (cancellation policy)* This field is required.You will not be able to book at our salon with out a card on file or pre-payment of the service.

7

How did you hear about the salon?

Referred by a friend

Facebook

Instagram

Google

8

Who were you referred by?

9

Which service are you looking to book with us?* This field is required.

Cut

Color

Cut and Color

Brazilian Blowout

10

Which color service best matches your goal?* This field is required.

Root Color (single color applied directly to the scalp)

Highlights (foils are applied)

All over Color (1-2 colors are applied from scalp to ends)

Balayage (lightener color is applied to the ends)

Unsure, my stylist can tell me

11

Are we giving your current haircut a little TLC, or are you dreaming of a complete hair transformation?

TLC

HAIR TRANSFORMATION

12

Are you willing to come in for a complimentary consultation if requested?* This field is required.

Yes

No

13

Please describe your hair color history over the last 5 years (in salon or at home). If this is your first time ever getting your hair colored you can also put that down below.* This field is required.

14

Have you had any of the following services in the last 5 years?* This field is required.Please check all that apply

Perm/Relaxer

Japanese Hair Straightening Treatmet

Brazilian Blowout

Keratin Treatment

None

15

Please tell us the dates that you had these treatments.If more than one put the name and the date together.

16

Goal Photos- Please add 2-3 goal photos of the cut/color you are wanting to achieve. If you are having trouble uploading photos please continue to fill out the form and text any/all photos to 8504230516.If you are having trouble uploading please continue to fill out the form and submit and then text photos to salon number with your name. Thank you!

17

Goal Photos- Please add 2-3 goal photos of the cut/color you are wanting to achieve. If you are having trouble uploading photos please continue to fill out the form and text any/all photos to 8504230516.If you are having trouble uploading please continue to fill out the form and submit and then text photos to salon number with your name. Thank you!

18

Goal Photos- Please add 2-3 goal photos of the cut/color you are wanting to achieve. If you are having trouble uploading photos please continue to fill out the form and text any/all photos to 8504230516.If you are having trouble uploading please continue to fill out the form and submit and then text photos to salon number with your name. Thank you!

19

Current Photos- Please add 1-2 photos of your current hair with no filters, hair down and natural light. (Your face does not have to be in the photo) If you are having trouble uploading please continue to fill out the form and submit and then text photos to salon number with your name. Thank you!

20

Current Photos- Please add 1-2 photos of your current hair with no filters, hair down and natural light. (Your face does not have to be in the photo) If you are having trouble uploading please continue to fill out the form and submit and then text photos to salon number with your name. Thank you!

21

Let us know your preferred days and times below. We'll work to accommodate your schedule, but please note that some times may be booked or require a longer wait.* This field is required.

22

Is there anymore info about your hair you would like us to know? Do you have stylist preference?You can list any hair related health issues, hair loss, alopecia, thinning. Please list the stylist name, if you have preference.

23

Please share with us if you have a budget amount or would like to stay with in a price range. This will better help determine which service we can book you for and give you service options.* This field is required.Please say yes with the budget amount or no. Thank you

24

Please refrain from "double contacting" the salon. We will get back to you within 24-48 hours of receiving your form. Thank you so much!If you contact us on Friday night, Saturday or Sunday, it could be Tuesday before we are able to contact you.

25

We are now located at 1132 N. Ferdon Blvd Ste A Crestview, FL 32536*NEW LOCATION*

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What is your preferred method of contact?* This field is required.

Text only

Phone call only

Text then Call

Call then text

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Thanks for your interest in Essence Salon!

To schedule your appointment, please agree to our terms. You've currently selected "No." Changing your selection to "Yes" will allow you to continue the booking process. For all appointments, we require an active credit card to be on file.