Hairy Odd Mother Consultation Form

New Client Consultation Form

Hi Friend! I'm so excited you're here. This form will allow me to understand your hair goals, history, and inspiration so I can provide an accurate quote and prepare for your appointment. Once Submitted, you'll hear from me within 24 / 48 hours:)
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
City, State*
InstagramFacebookGoogleYelpMet in PersonReferral from Someone ElseOther, Please Specify
Who referred you?
ExtensionsHaircutColor
At this time, I'm not able to offer appointments for haircut-only services. If you’d like to book a haircut, it needs to be part of a larger service, like color or extensions. I appreciate your understanding and look forward to seeing you in my chair!
LengthFullnessHighlights/ColorOther, Please Specify
I do not have hair extensions in and have never had them beforeI currently have hair extensions in my hairI do not have hair extensions in but have had them beforeOther, Please Specify
Grey Coverage / Grey BlendingBalayageHighlightsAll Over LighteningAll Over DarkeningHaircutColor CorrectionBrow / Lip WaxLowlightsConditioning TreatmentProduct RecommendationsColor Gloss / TonerStyling Lessons
Extra LightLightMedium LightMediumMedium HeavyHeavy
ShortMediumLongExtra Long
I have colored my own hair.I have not colored my hair in 3+ years.I have gotten my hair colored professionally.
From Sally's Beauty SupplyFrom OnlineFrom Drugstore / Grocery StoreBox DyeSplatOvertoneTemporary Hair Color RinseHenna / Vegetable Dye
Please upload a clear photo in neutral lighting of your hair now*

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Please upload an inspiration photo of what you'd like to achieve with your hair

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Any additional information you'd like me to have- Please write it here!
Thank you! I can't wait to see you
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New Client Consultation Form