New Guest Questionnaire

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.
Area Code
Phone Number
4
City, State
5
How did you find Charlotte Anderson?* This field is required.
Instagram
Facebook
Google
Yelp
Local Business
Met in Person
Referral from Friend
Social Media
6
What's the name of your friend who referred you?* This field is required.
7
Are you ONLY looking to book a haircut?* This field is required.I currently do not accept any new "Haircut Only" guests. You must be getting a color done with your service in order to recieve a haircut/appointment.
YESNO
8
At this time, Charlotte is not accepting new Haircut Only guests. If you feel this may be a mistake, please email Charlotte directly at charlotteandersonhd@gmail.com. If you'd like to get a color done, please continue with the application.
9
Check off all of the services you think you might need.* This field is required.
Grey Coverage
Balayage
Highlights
All Over Lightening
All Over Darkening
Haircut
Clipper Cut
Color Correction
Shadow Root
Lowlights
Conditioning Treatment
Product Recommendations
Toner
Styling Lessons
Other
10
Charlotte’s ServicesStarting at prices depending on length and density
11
Charlotte’s ServicesStarting at prices depending on length and density
12
Based upon Charlotte’s Service Menu, what Service Package are you thinking you may need?
Touch Up and Haircut ($140+)
Touch Up Mini Highlight and Haircut ($175+)
Highlights and Haircut ($185+)
Vivid Melt and Lightening ($200-$500+)
Grey Coverage Vivid Melt and Haircut ($175+)
Transformation Haircut ($135)
Other
13
Hair Density Examples
14
How would you describe your hair density/thickness?* This field is required.
Extra Light
Light
Light - Medium
Medium
Medium Heavy
Heavy
15
Hair Length Chart
16
In the state that you wear it most often (Natural, Straightened, Smoothed, Curly etc.), How would you describe your hair length?* This field is required.
Short
Medium
Long
Extra Long
17
Your hair history within the last 3+ years.* This field is required.
I have colored my own hair.
I have not colored my hair in 3+ years.
I have gotten my hair colored professionally.
Other
18
What hair color/product did you use? Please Check all that apply.
From Sally's Beauty Supply
From Online
From Drugstore/Grocery Store
Box Dye
Splat
Overtone
Temporary Hair Color Rinse
Other
19
Type a questionHave you ever had irritation or an allergic reaction to hair color?
YESNO
20
What are you looking to get done? Is there anything else you'd like to share?
Huge
Large
Normal
Small
Ok
Ok
21
What does your hair currently look like?
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
22
What would you like you hair to look like? Inspiration picture haircut
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
23
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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