New Guest Inquiry for Extensions

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
What is the best way to contact you?* This field is required.
Text
Email
Phone Call
5
What is your birthday?* This field is required.Gift giving is our love language!
Date
Year
Month
Day
6
What are you currently struggling with the most?* This field is required.
Finding my signature hair color
Finding my signature haircut
Dry hair
Chemical damage
Dry scalp
Hair loss or thinning hair
Frizzy hair
Lack of volume
Oily or greasy hair
Dandruff
Split ends
Dull hair or lack of shine
Heat damage
Gray hair
Styling my hair
Using products
Scalp Therapy
Scalp Massage
Nothing, I’m happy with it!
7
Please select ALL the services you may need* This field is required.
Consultation
Hand Tied Weft Extensions
Tape In/Medical Grade Adhesive Extensions
Extensions, Just Not Sure What Kind
Styling Lesson
Wash and Style
Haircut
Transformational Haircut
Corrective Haircut
Single Color Touch Up
Single Color All Over
Mini Touch Up
Partial Touch Up
Full Touch Up
Mini Transformation
Partial Transformation
Full Transformation
Grey Coverage
Grey Blending
Vivid/Artificial Color(s)
Corrective Color
Scalp Care Treatments
Hair Care Treatments
Self Care Treatments
Formal Styling
Perms
Just a Wash!
8
When was your last professional salon color service?* This field is required.Choose N/A If You Don't Need Color
N/A
Never
Less than 3 months ago
Less than 6 months ago
Less than 1 year ago
Less than 2 years ago
Less than 3 years ago
Longer than 3 years ago
9
When was your last in home color?* This field is required.Choose N/A If You Don't Need Color
N/A
Never
Less than 3 months ago
Less than 6 months ago
Less than 1 year ago
Less than 2 years ago
Less than 3 years ago
Longer than 3 years ago
10
Have you ever had a reaction to color?* This field is required.
YESNO
11
Have you ever had extensions before?* This field is required.
YESNO
12
If yes, please tell me about them and your experience(s)* This field is required.
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Small
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Ok
13
Current Hair Uploads* This field is required. Please upload 2 - 4 current pictures of your hair in the most natural lightening possible. No filters. Please note - all images uploaded are kept secure, confidential and private to A Signature Salon employees only. We require this to better understand how we can achieve your goals.
Drag and drop files here
Select files to upload
Cancelof
14
Inspiration Hair Uploads* This field is required.Please upload any images that you LOVE and would like your hair to look like.
Drag and drop files here
Select files to upload
Cancelof
15
What days and times are you available?* This field is required.
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
8am - 12pm
12pm - 4pm
After 4pm
I am flexible
16
What is your budget for this appointment?* This field is required.Remember, first time transformational appointments tend to be higher priced than a maintenance or touch up appointment. First time appointments also include the price of the hair - this is most expensive. You will find installs and upkeep are fairly affordable. We are happy to work with your budget to meet your goals efficiently, effectively, and with integrity.
$500 - $1,000
$1,000 - $1,500
$1,500 - $2,000
$2,000 - $2,500
I have no budget, I just want to achieve my goal right away
I am interested in hair extensions and understand the pricing it entails
17
Is there anything else you’d like your stylist to know?
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Small
Ok
Ok
18
How did you hear about us or find us?* This field is required.
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