Clone of Gilded Appointment Request

1
What is your name?* This field is required.
First Name
Last Name
2
What is your email?* This field is required.
example@example.com
3
What is your phone number?* This field is required.
Area Code
Phone Number
4
Are you interested in booking a color or extensions service?* This field is required.*Please note that we are a specialty salon that focuses on color and extensions. We do not offer haircuts as a stand alone service. Haircuts are only offered as an add on to a color or extensions service
Color only
Color + Extensions
5
Are you currently wearing extensions?
Hand-Tied Wefts
K-Tips
Tape Ins
No Extensions
6
Do you have any medical conditions or take any medications that affect your hair?* This field is required.
YESNO
7
Do you have any known allergies to any ingredients to hair products?
YESNO
8
Do you have any recurring or current scalp conditions?* This field is required.
YESNO
9
How would you describe your hair?
Fine
Medium
Thick
Coarse
Straight
Wavy
Curly
Dry
Oily
Damaged
Hair Loss
10
Do you have gray hair?* This field is required.
YESNO
11
Please describe the past two years of hair services you’ve had:Include if you have used box dye on your hair within the last 5 years. No judgment here :) we just want to know your hair history!
12
Next, take three quick photos of your current hair in natural lighting.

These help our team book you for the proper appointment. Photos should be taken the same day you submit this form — they don’t have to be your best photo, just a clear view of your hair.

• Front view
• Side view
• Back view

Please have these photos ready to upload. If possible, avoid selfies and filters so we can see your hair’s true color and texture.
13
Upload the FRONT VIEW of your hair.* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
14
Upload the SIDE VIEW of your hair.* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
15
Upload the BACK VIEW of your hair.* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
16
Next, please find two pictures of your hair inspiration.

Please have these photos ready to upload.
17
Please upload the FIRST hair inspiration photo here.* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
18
Please upload the SECOND hair inspiration photo here.* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
19
What is your primary hair goal for your appointment? And do you have any reservations or concerns?* This field is required.
20
Who is your preferred stylist?* This field is required.
Andrea (no longer accepting new clients - waitlist only)
Victoria
Marissa
Molly
Maddie
Jessica
Jaylyn
Kylee (Emerging Stylist)
Brooke (Emerging Stylist)
First Available
21
What is your preferred appointment time? Select all that apply:
Weekday Mornings
Weekday Lunchtime
Weekday Afternoons
Saturdays
Anytime!
22
When would you like to come in for your appointment?
ASAP
Within the month
No rush
23
Would you like to schedule a consultation prior to your appointment for a more in depth discussion of your hair goals?*required for new extensions guests
YESNO
24
How did you hear about Gilded?* This field is required.
Referred by a friend
Instagram
Google
Website
25
Who sent you our way, so we can thank them!* This field is required.
Should be Empty: