Appointment Request Form

1
Full Name* This field is required.
First Name
Last Name
2
Phone* This field is required.
Area Code
Phone Number
3
E-mail* This field is required.
example@example.com
4
Mailing address * This field is required.
5
Birthday
Date
Month
Day
Year
6
How did you hear about me?* This field is required.
Facebook
Instagram
Google
Friend/family
7
If a friend/family member referred you, who was it? I would love to thank them!
8
How would you describe your hair? (Check all that apply)* This field is required.
Fine (skinny strands)
Medium
Coarse
Thin (not dense)
Medium density
Thick density
Dry
Oily
Damaged
Dull
Heavy
Straight
Curly/wavy
9
How long is your hair?* This field is required.
Short- chin length
Mid-length- chin to shoulders
Long- shoulders to mid back
Extra long- mid back or longer
10
How long ago was your hair last colored?* This field is required.
1-2 months
2-3 months
3-4 months
4-6 months
6+ months
I’ve never colored my hair
11
What do you currently like about your hair color? * This field is required.
12
What do you currently dislike about your hair color?* This field is required.
13
How often are you willing to come back to the salon for maintenance?* This field is required.
Regularly, every 1-2 months
Somewhat often, every 2-3 months
Quarterly, every 3-6months
Occasionally, 1-2 times yearly
14
What types of services are you looking for? (Choose all that apply)* This field is required.
Root retouch- gray coverage/lighter/darker root ($85+)
All over color- one solid color roots to ends ($95)
Highlights ($85-160+)
Balayage/foilayage ($160)
Color correction ($100 hr)
Haircut- can only be booked with color service, not a` la carte ($65)
I have no idea I just know I need a change and I like my inspiration photo!
15
Are you wanting a complete change or maintain what you currently have?* This field is required.
Complete change
Maintain
16
Do you have any top concerns/priorities for your visit? (Budget, time constraints, home maintenance etc.)
Time constraints, budget, goal etc.
17
My schedule is Tuesday 12-6, Wednesday 1-8, Thursday 10-7, Friday 10-4, which of these days/times works best for you? *please note that choosing an evening will most likely take longer to get in vs. a daytime appointment.* This field is required.
18
Please upload 1-2 photos of your current hair as well as 1-2 inspiration photos
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
19
I understand that this is a general consultation intake form and designed so Jill can gather a better idea of what I am looking for and book the correct service. A more in-depth consultation will be done face-to-face at my appointment. I understand that Jill cannot give me an exact quote of my future appointment until I am in her chair. I understand it could take 2-4 weeks to secure an appointment time within Jill’s schedule. The initial investment of my first appointment could be $180-$300 to achieve my goal hair depending on my goal. I also understand my goal hair isn’t guaranteed in one visit.* This field is required.
I accept and agree
20
Colour Lust Hair Studio cancellation policy: I ask that if you have to cancel you do so at minimum 48 hours in advance. A fee of 25% of your scheduled service will be charged if you cancel within 24 hours of your appointment. No showing will result in a fee of 50% of the scheduled services. A $50 deposit will be required to reschedule/book another appointment if cancel within 24 hours of appointment. Thank you for understanding!* This field is required.
I understand and accept
Other
21
You can expect a text reply from me within 24-48 business hours of your submission. After a short pre-consultation, I will offer you an appointment time. I will also ask for a $50 deposit. You will have 24 hours upon booking to pay the deposit via email invoice. Once it is paid, your appointment will be secured. This deposit will go towards your appointment total and is non-refundable.
Please Select
Please Select
I understand and accept
I do not accept
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