Digital Consultation Form

Digital Consultation Form

Wicked results start with a thoughtful consultation. A few details now, and we'll conjure up your perfect look later!
Contact Info
Full Name*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
Email Address*
example@example.com
Address (optional)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth (optional)

MonthDayYear
Pronouns (Optional)
How did you hear about us?

FacebookYelpInstagramOnline AdvertisementGoogle SearchReferred by a friendOther
Appointment Info
What services are you interested in (select all that apply)*

Haircut & StyleHair styling (Special Occasion)Highlights or BalayageHair Colour (all over)Hair ExtensionsOther/I Don't Know
When are you hoping to schedule an appointment?
identify a specific date or days, approximate time of day or simply ASAP for next available opening.
Preferred Stylist?
What is your beauty budget for this appointment?
Current Hair & History

Tell me about your hair! What have you been doing with it, and what is it like right now?
How long is your hair?
How thick is your ponytail?
How would you describe your hair type?
How would you describe wave pattern?
What best describes your hair colour?
When was the last time you did any chemical service to your hair?

MonthDayYear
Includes bleach, highlights, colour, perm, straightening, keratin, hair botox etc.
Select any concerns you have about your hair health?

Hair loss/ThinningSplit endsFrizzy hairDamage/BreakageScalp ConcernsDrynessOther
Have you use the following in your hair before?

Permanent hair colorKeratin TreatmentRazor cut/ThinningRelaxerHennaPermBleach/LighteningDIY Colour (box dye)
Upload photos of your current hair

You can upload multiple files here
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What are you currently loving about your hair?
Is there anything else we should know about your hair?
Hair Goals

Tell us about your dream hair!
What about your current hair are you looking to change or enhance?
things that you typically love about your hair, but just aren't quite doing it right now.
Upload your inspiration photos

You can upload multiple files here
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Ritual & Maintenance

Tell me about your current home care rituals, lifestyle & ideal maintenance schedule.
How often do you visit a hair salon for maintenance?
Choose the closest option to your current routine.
How much time do you typically spend styling your hair daily?
Approximate time in minutes
How often do you shampoo and condition your hair?
Choose the closest option to your current routine.
What is your ideal hair maintenance schedule?
Tell me about your styling rituals & lifestyle. Select multiple statements if your styling varies from day to day:

I air-dry my hair.I blow dry my hair.I use a curling iron or wand.I use a flat iron/straightener.I use a round brush/blow dry brush.I wear my hair up.I don't do much - Wash & Go
Please list the products you use at home and what you use them for:
Note anything else about your current hair care ritual here:
Do you have any allergies or sensitivities to products or chemicals?
List any known allergies here.
Client Signature
Date Signed

MonthDayYear
Date
Should be Empty:

Digital Consultation Form

Contact Info

Appointment Info

Current Hair & History

Hair Goals

Ritual & Maintenance