New Guest Intake Form
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birthday
*
-
Month
-
Day
Year
Date
Phone Number
*
How Did You Hear About Me?
*
Who Referred You?
Why did you leave your last stylist?
How happy are you with your current hair? 1 "Hate It" 10 "Love It"
1
2
3
4
5
6
7
8
9
10
Worst
Best
1 is Worst, 10 is Best
What services are you interested in?
*
Balayage
Highlights
Haircut
All Over Color
Extensions
Smoothing Treatment
Which of the following best describes you?
I only get my hair done 1-2 times a year.
I want to have low maintenance color every 10-12 weeks.
I am willing/used to get my hair done every 8 weeks.
I am used to coming in every 4-6 weeks.
I will come whenever is needed.
Select one or more of the following that best describes your availability for appointments.
Only available evenings after 5pm
Available weekday mornings
Available weekday afternoons
Flexible schedules - available anytime
Please list all chemical services you have received in the last 1-2 years.
*
How much time are you willing to spend styling your hair each day?
As little as possible
10-15 minutes
20-30 minutes
30 minutes or more. However long it takes to look fabulous!
How much does budget play a role in choosing a style you like?
Major. I'm on a tight budget and I will choose a style based on price.
Somewhat. I am willing to compromise what I want based on cost and upkeep.
While I am price conscious, my vision for my hair won't change based on cost.
I am ready to invest! If I have dream hair, I will gladly pay to achieve and maintain it!
Please upload hair pictures as inspiration for your new look. If you are torn or have multiple ideas, please limit your ideas to 2. We will discuss your hair goals and what would work best for you at your appointment.
*
Browse Files
Cancel
of
Please upload a picture of your current hair that best shows me what it truly looks like. I recommend having someone take a picture for you, or take a selfie with natural lighting. This will allow me to help plan your hair appointment.
*
Browse Files
Cancel
of
Cancellation Policy
In order to continue providing the best possible scheduling options to our guests, I do require 48 hours notice should you need to reschedule your visit. Should you cancel your appointment with less than 48 hours notice, a $50 service cancelled fee does apply and will be due before a new appointment is scheduled.
Please Select Below If You Agree To These Terms And Would Like To Continue With Services Today.
*
AGREE
DISAGREE
Service Re-Do & Retail Return Policy
I strive to offer our guests the highest level of guest satisfaction. If you are having challenges with your cut or color, let me know within 7 days of your visit and I would be happy to correct the issue with no additional charge. Should you make a retail purchase that you are unsatisfied with, I will accept retail exchanges at full credit for 14 days from your initial purchase.
Please Select Below If You Agree To These Terms And Would Like To Continue With Services Today.
*
AGREE
DISAGREE
LATE POLICY
If you are 15 minutes or more late to your appointment, I may have to modify the services I am able to offer (i.e. not have time to blow-dry, etc), or respectfully ask that we reschedule.
Email Signature
By submitting this form with your email address, acknowledges that you have read and understand all the information stated above regarding our salon policies.
Submit
Should be Empty: