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*
How'd you hear about us?*

InstagramFacebookGoogleYelpMet in PersonReferral from Someone ElseOther, Please Specify
Who referred you?
Please select all the services you are looking to get done*

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!
What are you looking to achieve with Hair Extensions?*

LengthFullnessHighlights/ColorOther, Please Specify
Do you currently have hair extensions in? Have you had them before?*

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
Please Select All The Services You Think You Might Need*

Grey Coverage / Grey BlendingBalayageHighlightsAll Over LighteningAll Over DarkeningHaircutColor CorrectionBrow / Lip WaxLowlightsConditioning TreatmentProduct RecommendationsColor Gloss / TonerStyling Lessons
What do you believe best describes your hair density?*

Extra LightLightMedium LightMediumMedium HeavyHeavy
In the state that you wear it most often (Natural, Straightened, Smoothed, Curly etc.), How would you describe your hair length?*

ShortMediumLongExtra Long
Your hair history in the last 3+ years.*

I have colored my own hair.I have not colored my hair in 3+ years.I have gotten my hair colored professionally.
What hair color/product did you use? Please Check all that apply.*

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