OREGON NEW CLIENT Form

1
Full Name* This field is required.
First Name
Last Name
2
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
3
Phone Number* This field is required.
Area Code
Phone Number
4
E-mail* This field is required.
5
Preferred communication
Text
E-mail
Phone
6
How did you hear about us?
7
Requested Stylist?* This field is required.
Please Select
Please Select
Breyanna Remington
Kacie Gordon
Sofia Fogio
Andi Brundidge
Riley Outland
Anna Keptene
8
What type of services are you looking to book for?
Please Select
Please Select
Haircut
Color
Transformation
NBR Hair Extension
Other
9
What's your hair density?* This field is required.How much hair you have.
Thin
Medium
Thick
10
What is your hair texture?* This field is required.Your hair's natural pattern.
Straight
Wavy
Curly
Extra Curly
11
When was the last time appointment?
12
Do you have previously colored hair?* This field is required.
YESNO
13
Was it professional hair color?* This field is required.
YESNO
14
For your protection would you please list any medications you may be on.
15
Please list any allergies that you are aware of?
16
Do you have well or hard water?
Yes
No
17
Tell me what you love about your hair* This field is required.Tell me your biggest hair dreams...
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Large
Normal
Small
Ok
Ok
18
Tell me what you dislike about your hair
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Large
Normal
Small
Ok
Ok
19
Why did you leave your last stylist?
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Large
Normal
Small
Ok
Ok
20
What type of appointment experience are you seeking?
Please Select
Please Select
Enjoy peace and quiet
I enjoy conversations/laughter
Happy medium
21
What days work best for you?
Please Select
Please Select
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
22
How soon are you wanting to schedule?
Please Select
Please Select
ASAP
Within the next week
Within the next 2-4 weeks
1 Month+
23
If you are looking for a haircut are you wanting to…Please skip if you aren’t seeking a haircut appointment
Please Select
Please Select
Going for a new cut/style/dramatic
Trim
Fix a bad haircut
Other
24
if you are looking for a color are you wanting to…Skip if you aren‘t seeking a color appointment
Please Select
Please Select
Go lighter
Go darker
Cover grey
Need more dimension
Fix uneven hair coloring
Fix previous bad coloring experience
Other
25
If you are looking for NBR hair extensions are you waning.. Skip if you are not seeking NBR Extensions
Please Select
Please Select
Volume
Volume and slight length
Volume and significant length
Other
26
How much time are you willing to commit to your appointment?
Please Select
Please Select
1-2 Hours
2-3 Hours
3-4 Hours
No time restrictions
27
How often are your appointments
Please Select
Please Select
1-2 Months
3-4 Months
5-6 Months+
28
How do you feel about your current Maintenance Schedule
Please Select
Please Select
Like to keep it about the same
Want to go longer between appointments
Open to coming in more frequently
Open to your suggestions
29
What is your ideal budget?
Please Select
Please Select
$100-$200
$200-$300
$300-$400
Open to your suggestions
30
What products are you currently using at home?
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Large
Normal
Small
Ok
Ok
31
Have you ever worn extensions or are you currently wearing extensions?
Please Select
Please Select
I’ve worn them in the past
I’m currently wearing them
I’ve never had extensions before
32
What type of extensions have you had before?
33
What did you like or dislike about the extension method?
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Large
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Small
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Ok
34
Please upload a photo of the front and back of your hair in natural non direct light* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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35
Please upload some inspiration photos* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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36
Please tell me what you’re loving about your inspiration photos
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Large
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Small
Ok
Ok
37
NOVA STRANDS NEW CLIENT POLICYI understand that by submitting this form, it does not guarantee an appointment. I understand that by submitting this form I will receive general information based on the answers I provide, and may require an in person consulation for a fee to discuss more in depth questions. I understand that intial costs can vary greatly depending on my current hair, goal hair, and desired results. I understand that quotes given may not be the total amount after services are actually rendered, and some services may require a non-refundable retainer to secure an appointment. I agree that I am over 18, or if I'm under 18, that I've had a legal guardian review, sign, and submit this form on my behalf. I understand that NOVA STRANDS has a 48 hour cancelation policy of 50% scheduled appointments once the reservation has been made.
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