First Service Request Form

First Service Request Form
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
City, State
How did you hear about Golden Wave Salon?
What is the name of the friend/family who referred you?
What Service are you interested in?
Emily is no longer taking haircut services without color or extensions at this time, however other stylists located in Golden Wave Salon are! Please feel free to browse our other stylists on Golden Wave's website to find a stylist that works best with your schedule!

Please reach out if you have any further questions.
Check off all of the color services you think you might need:*

Gray Coverage/Darken RootsHighlights/BayalageShadow Root/TonerAll Over DarkerAll over lighterHaircutConditioning TreatmentProduct RecommendationsStyling TipsOther
Based on Emily's service packages, which one are you thinking you may need?*

The Works- $230+The Complete Look- $275+The Transformation- $300+
How would you describe your density or thickness?*

Extra LightLightLight MediumMediumMedium HeavyHeavyExtra Heavy
In the state that you wear your it most often (Natural, Straightened, Smoothed, Curled, etc.) How would you describe your hair length?*

Short (Pixie Style)Medium (Shoulder Length)Long (Mid Back)Extra Long (Past Mid Back)
What is your hair history within the last 3 years?*

I have colored my own hairI have not colored my hair in 3+ yearsI've gotten my hair colored professionallyOther
What type of product did you use to color your own hair?*

Box DyeFrom Drug Store/ Grocery StoreSplatFrom Sally Beauty SupplyFrom Online CompanyOvertoneTemporary Color Rinse
Please feel free to leave any additional comments about your hair. If you would like to attach any inspiration photos you can do so on the next slide!
(Optional) Feel free to upload any inspiration pictures for what you want your hair to look like.

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What type of financial investment are you prepared to make with extensions?

Extension Services with Emily on average can cost anywhere between $875 - $2,000. The final price of your service will vary greatly based upon the desired result and amount of hair & rows needed.
$875-$1000$1000-$1300$1300-$1600$1600+
Have you ever had extensions?*

YesNoYes, I have them installed right now.
If you have extensions currently installed, please describe the method, type and anything else about them to the best of your ability.*
What is your overall goal for wanting extensions?*

Volume/FullnessLengthTo fill in breakage spotsOther
Are you looking for color services as well?*

YesNo
Are you looking to change your color completely or stay closer to what you already have?*

I'm ready for a changeI'm happy with my color overall, but want minor changes
What does your color history look like in the past 3 years?*

I've gotten my hair colored professionallyI have never colored my hairI've colored it myself
Have you ever had any allergic/adverse reactions to color on your scalp or skin.*

YesNo
Please upload a picture of your current hair down. If possible stand facing a window to get best natural lighting. Upload a FRONT FACING picture, BOTH sides, and the BACK of your head. If possible please no selfies so I can get a more clear view! DO NOT SKIP THIS STEP.*

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Please upload any inspiration pictures if you want your hair to look a certain way.

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Is there anything else you think Emily should know about your hair?
PLEASE READ:

You're about to be redirected to online booking. Please book an "Extension Consultation."

Please do not book anything other than the Extension Consultation, even if you are getting other services such as a color or haircut. We will book you as soon as possible for all of your services after we have our consultation.
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First Service Request Form

What type of financial investment are you prepared to make with extensions?