Existing Client Information Update

Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birthday*

MonthDayYear
Date
Emergency Contact*
Name and Phone Number
What services are you interested in?*

HaircutAll Over Single Color (Darker Than Current Color)Root Touch Up, Single Color (Matching Current Color on Ends)All Over Single Color (Lighter Than Current Color)HighlightsDimensional Color (Highlights and Lowlights)Gray CoverageConditioning TreatmentHair and Scalp DetoxHair RestorationFacial WaxBrow Lamination and/or TintOther
How long is your hair?*

Shorter than chin lengthAbove the shouldersBetween shoulders and bottom of the shoulder bladesBelow the shoulder blades
How thick is your hair?*

ThinMediumThick
Which best describes the condition of your hair currently?*

Dry/damagedSomewhat healthy/in need of a trim, but not too many split endsHealthy/no split ends
How often do you use heat on your hair? (Blow dry, flat iron, curling iron, etc.)*

Daily2-3 times per weekOnce a weekA few times a monthOnce a monthNever
When was the last time you put any color on your hair?*

NeverLess than 1 month ago1-3 months ago3-6 months ago6-12 months ago1+ year agoOther
Keeping in mind that your hair grows an average of 6” per year, what type of color has been used on your hair?*

Only professional color applied at the salonBoth professional color (in the salon) as well as box color (at home)Only box color (at home)HennaThere is no color on my hair
How often do you like to come into the salon?*

Every 2-4 weeksEvery 4-6 weeksEvery 6-8 weeksEvery 2-3 monthsAbout 3 times a yearAbout twice a yearOnly once a year
What quality products do you use at home?*

Professional onlyDrugstoreBoth professional and drugstoreOther
What is your reason for this?*

PriceConvenienceNot enough knowledge of professional productsOther
What does your hair currently look like?

Cancelof
What are your inspiration photos?

Cancelof
Please describe what specifically you like about your inspiration picture(s), anything else you need me to know about your hair currently, maintenance requirements, and what your goal for this appointment will be.

What is your availability?

	Timeframe (ex: 9:00 AM - 12:00 PM, 2:00 PM - 5:00PM)
Tuesday
Thursday
Friday

How did you find out about me?

InstagramFacebookGoogleYelpOther
Cancellation and Rescheduling Policy

We require 48 hours notice for all cancellations or reschedules. Cancellations or reschedules made within 48 hours will incur a 50% charge of the service amount. Please cancel by texting us at 515-664-3884 or emailing lovelylocks@ymail.com. The 48-hour policy may be waived upon our discression for extenuating circumstances, however, abuse of this waiver will result in a non-refundable 50% deposit for future appointments. No-shows will incur a 50% appointment fee.

***Please do not apply perfume, cologne or essential oils prior to your appointment. I am highly allergic and currently very sensitive. Strong fragrances can make me violently ill. Please ask if there's any question.***
I, First Name* Last Name*, have answered all of these questions as honestly as possible, and I understand that by giving false information it can affect the outcome of the appointment. I also understand that the inspiration pictures are to be used as a reference to what my goal is, but that it may not be achievable in one appointment.
Signature*
Should be Empty: