New Client Request Form
Thank you for your interesting in booking an appointment with Color By Kiya!
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Instagram Handle
When is your preferred timing for your appointment? Appointments are typically booked 6+ weeks in advance based on availability
Which service are you interested in?
*
Balayage/ Lived In Color
Extensions
Full Blonding
Going Darker
Color and extensions
Grey blending
Other
Have you EVER had any box dye, permanent color or henna on your hair?
Yes
No
I’m not sure
What color has been on your hair in the past 2 years? If you have virgin hair, please list so here.
How would you describe your hair?
Fine
Medium
Thick
Coarse
Curly
Damaged
Dry
Oily
Previously bleached/ lightened
Virgin (has never had any kind of color)
Grey
Upload a photo of your CURRENT hair
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload a photo of your INSPO/ what you’re looking to achieve
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Have you ever had extensions before? If so, what kind and how was your experience?
How often are you looking to come into the salon to maintain your hair?
Every 6 weeks
Every 8-10 weeks
2-3 times a year
I’m a once a year girl!
What days of the week work best for you?
Tuesdays
Wednesdays
Fridays
Saturdays
Do you have any allergies, sensitivities, or reactions to hair color, lightener, toner, styling products, latex, fragrance, or any salon products? If yes, please explain
Are you okay with filming/ picture taking for content purposes?
Yes
No
Do you understand an in person consultation may be required before booking?
Yes
No
Do you understand no shows and cancellations within 24 hours of appointment result in a 50% cancellation fee?
Yes
No
Anything else you’d like me to know? :)
Thank you so much for your interesting in booking an appointment with me!
Submitting this form does not guarantee an appointment. I review each request to make sure the service is a good fit for my availability, specialty, and the health of your hair
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