NEW CLIENT INTAKE FORM

NEW CLIENT INTAKE FORM

Welcome to Breyanna Lee Artistry! Thank you so much for choosing ME to get to know you and your hair. I want to make sure that I have a clear idea of what you're wanting, your hair needs, and the state of your current hair! Completing this form to the best of your abilities will allow me to gather the essential understandings I need to set you up for success with your hair journey with me! Please allow 24-48 hours for me to set you up on a path to success. Be on the look out for an email and or text in that time frame.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
What is your preferred method of communication?*

TextEmail
Basic Information

Lets get started with a couple of key questions that will help me get to know you better
Are you a new or returning client?*

NewReturning
How did you hear about me?*
When was your last hair appointment?*
How would you describe your hair?*

FineDryOilyDamagedThick - HeavyCurly - some kind of waveCoarseFrizzy - unruly
For your protection please list any prescribed medication you are currently taking or have taken within the last 6 months - *
Please list any allergies I need to be aware of -*
Do you have well or hard water?*

YesNo
What do you currently love about your hair?*
What do you dislike about your hair?*
What is the reason for leaving your previous stylist?*
What day and times work best for you?*

WednesdayThursdayFridayMorningAfternoonEvening
What kind of experience are you looking for?*

QuietChat the day awayBe pampered - catered onMajor relax, minor chat
Requested Services

Please select all that apply to any desired appointments
Which services are you interested in?*

HaircutColorExtensionsOther
If you are looking for a haircut are you wanting to

Go for a new cut - style - dramatic changeTrim - freshen up your current shapeFix previous bad cutOther
If you are looking for color are you wanting

Go lighterGo darkerGray coverage - Gray blendingNeed more dimensionFix uneven color paletteFix previous bad color serviceOther
If you picked extensions are you looking to

Add fullness - volume to keep your current lengthAdd fullness with slight lengthAdd fullness with significant lengthOther
Maintenance & At Home Care

Now that we have gone over your hair history lets get your hair care regimen down!
How much time are you willing to commit to your appointments?*

1-2 hours3-4 hours4-5 hoursNo time restraints - open to whatever
How often are your appointments?*

1-2 months3-4 months5-6+ months
How do you feel about your current maintenance schedule?*

Like to keep it about the sameWant to go longer between appointmentsOpen to coming in more frequentlyOpen to your suggestion
What is your ideal budget?*

$100-$200$200-$300$300-$400Open to your suggestions
What products are you currently using? Shampoo, conditioner, masks, stylers.*
Extension Questions

If you are not desiring extensions please skip this portion!
Have you had extensions or are you currently wearing extensions

I've had extensions in the pastI'm currently wearing extensionsI've never had extensions before
What kind of extensions have you had before?
What did you like or dislike about that method of extensions?
Hair Color History

Please fill this section if you want color now or at a later time and to the best of your ability, so I can get a better understanding of your hair history! If you are desiring a cut only please skip this portion.
What have you done to your hair in the last 3 years?*
Have your previous colors been professional or box color?*
Picture Time

It is crucial that I see your hair in its current state and to see your inspiration hair pictures! Please take photos in natural lighting. No direct sunlight, no bathroom lighting, no dim lighting, no filters and no far away photos. Taking pictures in front of a window is the best!
Please upload 3 photos of your hair - FRONT, BACK & SIDE
File Upload*

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Please upload 3 inspiration photos to showcase color, length, dimension, tones or fullness that you are looking for
File Upload*

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Do you have any hesitations, negative experiences that you have about color, or extensions?*
Please describe what draws you to the photos you submitted. What do you like and dislike?*
Lets Submit!

Please read and sign the disclaimer below!
I 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.
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NEW CLIENT INTAKE FORM

Basic Information

Requested Services

Maintenance & At Home Care

Extension Questions

Hair Color History

Picture Time

Please upload 3 photos of your hair - FRONT, BACK & SIDE

Please upload 3 inspiration photos to showcase color, length, dimension, tones or fullness that you are looking for

Lets Submit!