New Client Intake Form
Tell us what services you want, your preferred color and extensions, a brief description, and your hair history.
Welcome! I'm so excited you're considering booking with me. Please fill out the form below, and I'll be in touch to discuss your hair goals and the best appointment option for you.
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
Preferred Method of Contact
*
Text
Phone
Email
Hair Information
What service are you interested in?
*
Haircut
Color
Highlights
Balayage
Blonding
Extensions
Treatment
Unsure (I'd like a consultation)
Have you colored your hair in the last 12 months?
*
Yes
No
What are your current hair goals?
*
Do you have any concerns about your hair?
*
Have you used box color or henna on your hair in the past two years?
*
Yes
No
Chemical Hair History
Please share any chemical hair history, such as perms, relaxers, or other chemical services.
Inspiration
Please upload 2–3 inspiration photos
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Please upload 2–3 current photos of your hair (front, back, and in natural lighting)
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Scheduling
Preferred Days
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Preferred Time
*
Morning
Afternoon
Evening
Additional Information
Is there anything else you'd like me to know before your appointment?
How often do you color or treat your hair?
Please Select
Every 4-6 weeks
Every 2-3 months
A few times a year
Rarely/Never
Do you have any known allergies or sensitivities to hair products?
Yes
No
If yes, please list your allergies or sensitivities.
Is there anything else we should know about your hair history or preferences?
Submit
Should be Empty: