Welcome to Loc'd by Agamems
Please complete all required questions to the best of your ability...
Name
*
First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Best day (Week Day or Weekend ) & time (Morning, Afternoon or Evening) to reach you by telephone?
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Is this your first experience with Loc'd by Agamems
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Yes
No
How did you hear about Loc'd by Agamems
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Social Media
Referred by friend
Personal Invitation
Other
If referred, please provide name of the person that referred you.
Please list and briefly describe any/all allergies:
Have you used any color, bleach, relaxer, texturizer, keratin treatment, or other chemical service on your hair within the past 12 months?
*
Please Select
Yes
No
If yes, briefly describe the service(s)
What best describes your current hair?
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Natural hair, no locs
Beginner locs
Mature locs
Traditional locs
Transitioning from another style
Other
If you currently have locs, approximately how many locs do you have?
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Less than 50
51-100
more than 100
Not sure
Not applicable
If you have locs, approximately how long have you had your locs?
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1-6 months
7-12 months
2yrs +
Not applicable
If you have locs, when was your last loc maintenance or retwist?
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2-4 weeks ago
2-4 months ago
6+ months ago
Not Applicable
What service are you interested in receiving?
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Starter Locs
Loc Retwist/Maintenance
Loc Repair
Loc Detox
Loc Color
Loc Cut/Trim
I'm not sure, would like a Loc Consultation
How would you describe the current condition of your hair and scalp?
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Healthy with no concerns
Dryness
Excessive buildup
Tender or sensitive scalp
Thinning/breakage
Locs are weak/thinning at the roots
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Please upload a clear photo of your current hair/locs.
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Please upload a photo of the loc style or finished look you would like to achieve.
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Loc'd by Agamems Consultation and Pricing
Pricing is based on the condition, length, density, size, and amount of work required for your hair. Your submitted information and photos help us prepare for your consultation and provide an estimated service range. Final pricing will be confirmed during your consultation after assessing your hair in person.”
For Quality Control & Assurance, Loc'd by Agamems locticians will only use Agamems Beauty's All-natural, Organic products
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Yes, I understand the loctician will only use approved Agamems Beauty's products
Booking requires a non-refundable deposit of $50, which can be remitted via Zelle at sales@agamems.com
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I understand the non-refundable booking deposit must be remitted via Zelle
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