New Client Form

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number* This field is required.

Please enter a valid phone number.

5

How long is your hair?* This field is required.

Very short (pixie)

Short (above shoulders)

Medium (around shoulders)

Long (half way down back)

Very Long (anything longer)

6

How would you describe the density of your hair?* This field is required.

Fine

Average

Thick

Very Thick

8

When was your last hair appointment?* This field is required.

1-3 months ago

3-6 months ago

6-12 months ago

over a year

9

Tell me about the history of your hair (last 3 years)* This field is required.Please select ALL that apply!

I have box colored my hair at home

I have had my hair professionally lightened

I have had my hair professionally darkened

I have not colored my hair in 3 + years

I have never colored my hair

10

Realistically, how often will you come in for maintenance?* This field is required.

1-3 months

3-6 months

6-12 months

over a year

11

What do you LOVE about your hair currently?* This field is required.

12

What DON'T you love about your hair currently?* This field is required.

13

Upload a picture of your hair inspiration!* This field is required.What is your goal at our appointment!?

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

14

Upload a picture of your hair currently!* This field is required.Try to stand in natural lighting!

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

15

What is your preferred availability?* This field is required.

Morning (9-12)

Afternoon (12-3)

Late Afternoon (2-5)

Evening (5-8)

Im flexible!

16

What else should I know about you?!