Alchemy Haus New Client Consult Form
Please complete this form to help us prepare for your visit and provide personalized service.
Contact Information
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Date of Birth
-
Month
-
Day
Year
Date
Preferred Contact Method
Please Select
Phone
Text
Email
Service Interest
What services are you interested in?
*
Color
Blonding/Lightening
Hair Extensions
AI Scalp PMU
Other
Is this your first time getting this service?
*
Yes
No
Preferred appointment day(s)
Monday
Tuesday
Wednesday
Thursday
Preferred time of day
Morning
Midday
Afternoon
Health & Scalp Conditions
Do you have any scalp conditions or sensitivities?
*
Yes
No
If yes, please describe
Do any of the following apply to you?
Excessive sweating
Recent hair loss
Sensory/comfort needs
Hormonal changes
Major heat/chemical damage
Other
Other — please specify
Photo Upload
Upload 2–4 photos of your current hair in natural light (front, side, back)
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Upload 1–3 inspiration images of the look you want
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Hair History
How would you describe your current hair?
*
Have you had any chemical services in the last 6 months?
*
Yes
No
If yes, please describe
Do you currently use box dye or at-home color?
*
Yes
No
How often do you typically visit a salon?
*
Please Select
Every 4–6 weeks
Every 2–3 months
A few times a year
Rarely
Extension History
If you are not interested in extensions, skip this section.
Have you ever had hair extensions?
*
Yes
No
If yes, what type and approximately when?
Describe your natural hair texture
*
Please Select
Fine
Medium
Coarse
Describe your hair thickness
*
Please Select
Thin/Low density
Medium
Thick/High density
Describe your hair length
*
Please Select
Short – above shoulders
Medium – shoulder to bra strap
Long – below bra strap
How long does it take to style your hair in the morning?
Describe your typical styling routine
How often do you wash your hair?
Do you work out or sweat heavily?
*
Yes
No
How much time do you realistically want to spend on hair care per week?
How Did You Find Us
How did you hear about Alchemy Haus?
*
Please Select
Instagram
TikTok
Google
Friend/Family Referral
Existing Client Referral
Other
If referred, who referred you?
Goals
In your own words, what are you hoping your hair will allow you to feel or do?
*
What are your non-negotiables for your hair?
*
What are you most worried might happen?
*
Continue
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