New Guest Questionnaire

1
Name* This field is required.
First Name
Last Name
2
Phone Number* This field is required.for internal use only
Area Code
Phone Number
3
Email* This field is required.for internal use only, used for communications of appointments, sales and specials, any business or policy changes.
example@example.com
4
How did you hear about Samatha?* This field is required.
Instagram
Facebook
Google Search
Drove Past
Met in Person
Referral from friend/family
Other
5
What made you decide to make an appointment with Samatha?
6
Select all the services you want or need* This field is required.
Gray Coverage
Balayage
Highlights
All Over Lightening
All Over Darkening
Haircut
Clipper Cut
Color Correction
Shadow Root
Color Melt
Lowlights
Toner
Conditioning Treatment
Product Recommendations
Styling Lessons
Glossing Treatment
Vivid/Rainbow color
Perm
Bridal hair/Formal Event Styling
Extensions for length
Extensions for Volume
Other
7
Based on the service(s) you selected that you think you may need, it appears one or more of those are not something Samatha specializes in or offers.* This field is required.
I chose the exact service I am looking for
I am flexible and open to alternative service options.
8
Please select the service(s) that are an absolute must have:* This field is required.
All Over Lightening
Clipper Cut
Color Correction
Vivid/Rainbow color
Other
9
Have you worn extensions before?
YESNO
10
What type of extensions have you worn before?
K-tip/keratin bonded/fusion
I-tip/beaded individual strands
Tape-Ins
Sew-Ins
Clip-Ins
Other
11
Are you currently wearing extensions?
YESNO
12
Tell me what you do/did or don't/didn't like about your previous or current extensions.
Huge
Large
Normal
Small
Ok
Ok
13
Image Field
14
Based on the Service menu, which option do you feel best fits your needs?* This field is required.To avoid any confusion or discomfort around tipping at the end of the service, Samatha has removed that guesswork and stress by running a gratuity free establishment.
The Haircut ($102)
The Refresh ($187)
The Upgrade ($220)
The Transform ($278)
Extensions (Price determined at consultation)
Other
15
Tell me about your hair* This field is required.Select all that apply.
Dry
Oily
Damaged
Healthy
Flat
Frizzy
Thick
Thin
Course
Fine
Wavy
Curly
Kinky/Coiled
Other
16
How long is your hair?* This field is required.
Pixie, it doesn't touch my ears
Short, over the ears but shorter than jaw length
Bob, between the bottom of my ears and my collarbone
Mid-length, past my shoulders but not longer than my my bra strap
Long, reaches the bottom of the shoulder blades or to my bra strap
Extra long, past my bra strap to my mid or lower back
17
Are you currently happy with your hair style? hair color?If "no" please explain.
18
What is most important to you when styling your hair?
19
How much time do you budget to do your hair on a daily basis?
20
Does your work/hobbies contribute to how you wear your hair?Needs to be in a ponytail for workouts or taking care of children, etc.
21
What has been your best hair experience? Worst?Please explain with as much detail as possible.
22
What are the things you like/dislike most about your hair?
23
What is your idea of the perfect hairstyle?
24
Approximately, when was your last hair service? (cut and/or color)* This field is required.
25
In the past 2 years, have you had any chemical services performed on your hair?* This field is required.Select all that apply
I have not had any color/perm/keratin/straightener in over 2 years
I have done at home color
I have done at home keratin/straightening
I have had a professional perm/straightening
I have had a professional perform a keratin treatment
I have had professional color
Other
26
Upload photo(s) of your current hair.Photos of the front, back, and sides in natural, indirect lighting are best. This helps Samatha get an idea of your hair in its current state the way you typically style and wear it.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
27
Upload photo(s) of any inspiration hair.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
28
[OPTIONAL] Please add any comments or questions you have for Samatha.Feel free to give as much detail about your hair, hair history, concerns about appointments, etc. as you would like. It is a mission of Samatha's to create comfort and calm for all new guest during their initial appointments and all appointments to follow.
29
Please verify that you are human* This field is required.
Should be Empty: