New Client Color Form

1

First Name* This field is required.

2

Last Name* This field is required.

3

Pronouns

4

Phone Number* This field is required.

Please enter a valid phone number.

5

Email* This field is required.

example@example.com

6

How did you find me?

7

Who referred you to me?Please input their full name

8

How often do you color your hair? When was the last time you had it colored?Example: "Every 2-3 months, last colored 1 month ago"

9

Please upload a photo of your current hair color in natural lighting* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

10

Tell me what you don't like about your hair or what you currently struggle withThis can be anything from styling challenges to issues with hair and scalp health, etc.

11

Please upload a photo of your desired hair color goal* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

12

Tell me what you like about the hair in your goal photoWhat do you like about that look or style?

14

Are you planning any special events or vacations soon?

YESNO