New Client Intake Form for Alaura Luxe Hair
Please fill out this form to help us understand your hair needs and preferences.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Contact Method
Phone
Email
Text Message
How did you hear about Alaura Luxe Hair?
Please Select
Instagram
Facebook
Google Search
Referral
Other
What services are you interested in?
*
Haircut
Color
Highlights/Balayage
Extensions
Styling
Treatments
Other
How often are you willing to come in for maintenance?
Every 6-8 weeks
Every 8-12 weeks
Every 3-6 months
As little as possible
Describe your current hair (type, length, color, etc.)
*
How much time do you spend styling your hair daily?
Almost none
5-15 minutes
15-30 minutes
30+ minutes
Have you used box dye in the last 2 years?
Yes
No
Have you used henna in the last 2 years?
Yes
No
Current hair photos
Upload Photos
Drag and drop files here
Choose a file
Cancel
of
Inspiration photos
Upload Photos
Drag and drop files here
Choose a file
Cancel
of
Do you have any allergies, sensitivities, or scalp conditions we should know about?
What are your hair goals or concerns?
What type of appointment experience do you prefer?
Chatty & social
A mix of conversation and quiet time
Mostly quiet / silent appointment
No preference
Is there anything else you'd like us to know?
Submit
Should be Empty: