Y.A.S. New Guest Questionnaire

1
Name* This field is required.
First Name
Last Name
2
What are your pronouns?
She/Her
He/Him
She/They
He/They
They/Them
I don't wish to share this
Other
3
Email* This field is required.
example@example.com
Confirm Email
4
Phone Number* This field is required.
Area Code
Phone Number
5
How would you prefer to be contacted with instructions for making your first appointment?* This field is required.
Text
Email
Either
6
How'd you find Lotus?
Google
Strands For Trans
Gender Health Center
LGBT Center
Local Business
Met in Person
Referral from Friend
Social Media
7
Check off all of the services you think you might need.
Haircut
Curl Specialist Haircut
Hair Grow Out Plan
Eyebrow Shaping/Facial Waxing
All Over Color
Root Retouch Color
Dimensional Color (example: base color with highlights, shadowed root, mix of color shades, etc)
Ghost Roots
Vivid Colors (Think Rainbow Shades)
Color Blocking
Highlights And/Or Lowlights
All Over Lightening
Color Correction
Toner
Conditioning Treatment
Keratin Smoothing/Brazillian Blowout
Styling Lessons
Makeup Lessons
Style Coaching
Product/Styling Tool Recommendations
Ratail Advocacy/Help Building Wardrobe
Extensions Or Thinning Hair Solutions
15 Minute Consultation
Other
8
How would you describe your hair density/thickness?Do you have thinning hair, an average amount, more than average, etc
Extra Light (thinning, patterned baldness, hair loss, etc)
Light
Light - Medium
Medium
Medium Heavy
Heavy (much more than the average person)
9
In the state that you wear it most often (Natural, Straightened, Smoothed, Curly etc.), How would you describe your hair length?
Short (above the jaw line)
Medium (between the jaw and collar bone)
Long (collar bone to mid back)
Extra Long (mid back or longer)
10
Your hair history within the last 3+ years.
I have colored my own hair.
I have gotten my hair colored professionally.
I have not colored my hair in 3+ years.
I have had a perm or relaxer
I have never colored my hair
Other
11
Current hair and inspiration picturesIf you wish to share pictures of your current hair or inspirations, please upload them here! This helps me assess what services to book and how long we might need.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Browse Files
Cancelof
12
What's your budget for this visit?* This field is required.There's no wrong answer, this is so I can give you the right options for booking.
Under $100 (consultation, haircut, facial waxing, brow shaping)
$100 - 300 (curl specialist haircut, refresh color, haircut bundled with a single color or highlight service, makeup lessons, wardrobe advice, style lessons)
$300-400 (signature color service, haircut bundled with multiple color services - base color, highlights, basic vivids, vivid sections, private coaching)
$350 - 650 (vivid color transformation, color correction, major hair color shifts, concierge coaching packages)
650+ (exclusive hair art, VIP transformations/coaching packages)
Other
13
Is there anything we haven't covered that you'd like to share?
Huge
Large
Normal
Small
Ok
Ok
Should be Empty: