MSM Digital Consultation Form Template 2025

1
Name* This field is required.
First Name
Last Name
2
Email
example@example.com
3
Phone Number
Please enter a valid phone number.
4
City, State
5
How'd you hear about us?
Instagram
Facebook
Google
Yelp
Met in Person
Referral from Someone Else
Other
6
Who was it that referred you?
7
Please select all the services you are looking to get done* This field is required.
Extensions
Haircut
Color
8
At this time, Jamie is not offering appointments for haircut-only services. If you’d like to book a haircut, it will need to be part of a larger service like color or extensions.
9
What are you looking to achieve with Hair Extensions?* This field is required.Please Select All That Apply
Length
Fullness
Highlights/Color
Other
10
Do you currently have hair extensions in? Have you had them before?* This field is required.
I do not have hair extensions in and have never had them before
I currently have hair extensions in my hair
I do not have hair extensions in but have had them before
Other
11
What brand of hair do you currently have?
12
What do you believe best describes your hair density?
Extra Light
Light
Medium Light
Medium
Medium Heavy
Heavy
13
In the state that you wear it most often (Natural, Straightened, Smoothed, Curly etc.), How would you describe your hair length?
Short
Medium
Long
Extra Long
14
Please Select Any Other Services You Think You Might Need
Grey Coverage
Balayage
Highlights
All Over Lightening
All Over Darkening
Shadow Root
Lowlights
Conditioning Treatment
Product Recommendations
Toner
Haircut
15
Your hair history in the last 3+ years.
I have colored my own hair.
I have not colored my hair in 3+ years.
I have gotten my hair colored professionally.
16
What hair color/product did you use? Please Check all that apply.
From Sally's Beauty Supply
From Online
From Drugstore/Grocery Store
Box Dye
Splat
Overtone
Temporary Hair Color Rinse
17
Please upload a clear photo in neutral lighting of your hair now* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
18
Please upload an inspiration photo of what you'd like to achieve with your hair * This field is required. osts
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
Should be Empty: