New Guest Questionnaire

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Cell Phone Number* This field is required.
Area Code
Phone Number
4
City, Province* This field is required.
5
How'd you find Corrina's cHAIR?* 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?
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 highlight/balayage or smoothing treatment done with your service in order to recieve a haircut/appointment.
YESNO
8
At this time, Corrina is not accepting new Haircut Only guests. If you feel this may be a mistake, please email Corrina directly at corrinaschair@gmail.com. If you'd like to get a color done, please continue with the application.

All color packages include a haircut and start at $354+
9
What is your preferred time for appointments?* This field is required.
Mornings
Afternoons
Evenings
Saturdays
10
Corrina's cHAIR is closed on Saturdays but open one evening a week.

If evenings are something you can do, please continue with the application.
11
Image Field
12
Image Field
13
Based upon Corrina's Service Menu, what Service Package are you thinking you may need?* This field is required.
Colour With Dimension $455+
Dimensional Blonde $368+
Cezanne Smoothing Treatment $390+
Other
14
Check off all of the services you think you might need.* This field is required.
Grey Coverage
Highlights
All Over Lightening
All Over Darkening
Haircut
Clipper Cut
Color Correction
Shadow Root
Lowlights
Conditioning Treatment
Product Recommendations
Toner
Styling Lessons
Keratin Treatment
Other
15
Hair Density Examples
16
How would you describe your hair density/thickness?* This field is required.
Extra Light
Light
Light - Medium
Medium
Medium Heavy
Heavy
17
Hair Length Chart
18
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
19
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
20
What hair color/product did you use? Please Check all that apply.* This field is required.
From Sally's Beauty Supply
From Online
From Drugstore/Grocery Store
Box Dye
Splat
Overtone
Temporary Hair Color Rinse
Other
21
What are you looking to get done? Is there anything else you'd like to share?
Huge
Large
Normal
Small
Ok
Ok
Should be Empty: