NEW CLIENT APPLICATION FORM

1
I would like to ask a few questions about what you had in mind for your color appointment. Please answer the following questions so I can be better prepared for your appointment. Thank you so much! I look forward to working with you to achieve your hair goals.
2
Email* This field is required.
example@example.com
3
First Name* This field is required.
4
Last Name* This field is required.
5
Phone Number* This field is required.
6
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 receive a haircut/appointment.
YESNO
7
Check off all of the services you think you might need.* This field is required.
Grey coverage
Highlights
Balayage
Keratin/Brazilian Blowout
All Over Darkening
Haircut
Color Correction
Lowlights
Conditioning Treatment
Gloss
EXTENSIONS
8
Image Field
9
Based upon Cindy's Service Menu, what Service Package are you thinking you may need?* This field is required.
The Revamp *(Returning clients only)* $275-$355
The Refresh *(Returning clients only)* $190-$255
The Transformation $325-$405
Keratin/Brazilian Blowout $350-$375
EXTENSIONS (consultation)
10
When was the last time you colored and cut your hair or any other type of chemical service?* This field is required.
1-3 months ago
6 months or more
3-6 months ago
Other
11
Your hair history within the last 3+ years* This field is required.
I have colored my own hair.
I have gotten my hair colored professionally.
I have not colored my hair in 3+ years.
12
Do you know what your natural color is?* This field is required.
13
What condition would you say your hair is in?* This field is required.
Healthy
Fairly healthy
Damaged
Extremely Damaged
14
What would you say your natural hair texture is?* This field is required.
Straight
Wavy
Curly
15
Hair length?* This field is required.
Short (above shoulders)
Long (past shoulders)
Short (above shoulders)
Other
16
Hair density (thickness)* This field is required.
Thin
Medium
Thick
17
Is your hair texture...* This field is required.
Fine
Medium
Coarse
18
What is your expectation for results at the end of this appointment and do you have anything else you'd like to share about your hair?* This field is required.
19
How did you find us?* This field is required.
Family/friend referral
Facebook
Instagram
20
File Upload* This field is required.Please send me a good picture of your hair, root to ends in natural lighting, or paste your IG or FB URL so I can take a look at your hair.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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21
File UploadPlease send a couple of pictures of your desired goal that we can use for inspiration.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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