New Guest Consultation Form

1
Name* This field is required.First and Last
2
What Are Your Pronouns?
She/Her
He/Him
They/Them
Prefer Not To Answer
Other
3
Email* This field is required.
example@example.com
4
Phone Number* This field is required.
5
City, State
6
How Did You Find Emily?* This field is required.Select All That Apply.
Referred By A Client Of Emily's
Google Search
Sola Directory
Social Media
Other
7
What Is The Name Of The Person Who Referred You?* This field is required.
8
What Is Your Normal Availability Wed-Sat?* This field is required.The More Flexible Your Schedule, The Greater Chance Of Booking An Appointment At A Closer Date.
9
What Type Of Service Are You Wanting To Book?* This field is required.
Haircut OnlyHaircut & Color
10
Has Your Hair Been Colored Within The Last 3+ Years?* This field is required.
Yes, I've colored my own hair
Yes, my hair has been professionally colored
Yes, my hair has been both colored professionally, and I've colored my own hair
No, my hair has not been colored within the last 3+ years
Other
11
What Type Of Hair Color/Brand Have You Used Within The Last 3+ Years To Color Your Own Hair?* This field is required.Select All That Apply.
Demi-Permanent Hair Color
Permanent Hair Color
Bleach
L'Oreal
Clairol
Garnier
Revlon
Schwarzkopf
Madison Reed
Color From Sally Beauty Supply
Splat
Sun-In
Henna
Other
12
How Long Has It Been Since Your Hair Was Last Colored?* This field is required.
Less Than A Month
1-3 Months
4-6 Months
7-11 Months
1 Year
2 Years
3 Years
More Than 3 Years
I don't remember
Other
13
Tell Me A Little About Your Hair History From The Last 3+ Years.* This field is required.(Ex. What your hair is like currently, hair struggles you may be experiencing, chemicals that have been used on your hair, past salon experiences, something you've liked or not liked in the past.)
14
Image Field
15
Image FieldAdditional Services On The Next Slide
16
Image FieldAdditional Service On The Next Slide
17
Image Field
18
Based Upon Emily's Service Menu, Which Service Do You Think You Need?* This field is required.
Haircut Only ($55+)
(Extended) Haircut Only ($85+)
Other
19
Based Upon Emily's Service Menu, Which Service Do You Think You Need?* This field is required.
The Touch Up ($140+)
The Touch Up + Additional 30 Min (The Touch Up) ($170+)
The Maintain ($200+)
The Maintain + Additional 30 Min (The Maintain) ($230+)
The Complete ($265+)
The Complete + Additional 30 Min (The Complete) ($295+)
The Complete + Additional 1 Hour (The Complete) ($325+)
Other
20
Do You Have Any Medical Conditions, Medications, Allergies To Substances, Chemicals, Or Ingredients That Might Be Present In The Salon, Or In Products Being Used That You Think Emily Should Know About?
NoYes
21
What Medical Conditions, Medications, Or Allergies Do You Have?* This field is required.
22
Hair Length Chart
23
Based On The Hair Length Chart, And The State In Which You Wear Your Hair Most Often (Natural, Straightened, Smoothed, Curly etc.), How Would You Describe Your Hair Length?* This field is required.
Short (Chin Length & Above)
Medium (Shoulder Length)
Long (Below The Shoulders/Upper-Back)
Extra Long (Mid-Back & Below)
Other
24
Hair Density Examples
25
Based On The Hair Density Examples, How Would You Describe Your Hair Density/Thickness?* This field is required.
Extra Light
Light
Light/Medium
Medium
Medium/Heavy
Heavy
Extra Heavy
Other
26
Please Describe What You're Wanting To Have Done. Is There Anything Else You'd Like To Share?* This field is required.
27
Please Upload A Photo Of Your Current Hair.* This field is required.Click the "Upload Image" button to upload your photo. Once you've selected your photo, press the "Please Upload Image" button above your picture to complete the upload of your photo.
28
Additional Current Hair Photo (Optional)
29
If You Have Inspiration Photos, You Can Upload Them Here.
30
Additional Inspiration Photo (Optional)
31
Additional Inspiration Photo (Optional)
32
Have You Already Selected An Appointment From Emily's Booking Site Prior To Filling Out This Consultation Form?
NoYes
33
Do You Believe You're Ready To Book Now, Or Would You Like More Guidance?* This field is required.
I'm Ready To Book Now!I'd Like Some Guidance.
34
PLEASE READ CAREFULLY BEFORE SUBMITTING:

Once you click submit, you will be redirected to the online booking page. If the redirect does not work, your browser may be set to block pop-ups. You can access the link directly at: www.emilycoffin.glossgenius.com/services (DO NOT CLICK UNLESS YOU HAVE TO)

Online Booking Instructions:

Step 1: Once you're redirected to the booking site, select the service package you believe to be the one you're looking for.

Here's a breakdown of the booking blocks as a reminder so you know exactly which one is the right fit for you:

(All Service Packages Include A Haircut, Wash & Blowdry Style)

Haircut Only - $55+

1 Hour+ Service

For New & Returning Guests (Who Have Average Hair Length & Density) Who Want The Same Or Similar Haircut Style.

(Extended) Haircut Only - $85+

1.5 Hour+ Service

For New & Returning Guests Who Are Changing Their Haircut Style, Have Extra Thick Or Long Hair, Or Need More Consultation Or Styling Time.

The Touch Up - $140 - $170+

2 -2.5 Hour+ Service

This May Be For You If You’re Keeping The Same Or Similar Style Haircut, And You’re Looking To Have:

Your Existing Single Color Touched Up (Not Including Bleach Retouches) From The Scalp To Not More Than 1” Off The Scalp,

Your Gloss Refreshed, Or

A Solid Color That Is The Same Level Of Darkness Or Darker Than Your Overall Color Applied Scalp To Ends (For Average Hair Density Above Shoulder Length).

Book “The Touch Up” AND “Additional 30 Min (The Touch Up)” If:

You’re Changing The Style Of Your Haircut Or Making A Drastic Change To Your Haircut,

You Have Extra Thick Or Long Hair That Requires More Product Or Time,

You’d Like Your Grays Around Your Hairline, Part, And Crown Blended Or Partially Covered, Or

You Want A Solid Color That Is The Same Level Of Darkness Or Darker Than Your Overall Color Applied Scalp To Ends (For Average To Thick Hair Density Below Shoulder Length).

The Maintain - $200 -$230+

3 - 3.5 Hour+ Service

This May Be For You If You’re Keeping The Same Or Similar Style Haircut, And You’re Looking To Have:

A Subtle to Moderate Amount Of Highlights Around Your Face, Part, And Crown.

Book “The Maintain” AND “Additional 30 Min (The Maintain)” If:

You’re Changing The Style Of Your Haircut Or Making A Drastic Change To Your Haircut,

You Have Extra Thick Or Long Hair That Requires More Product Or Time,

You’re Looking To Have Your Grays Covered Or Solid Color Touched Up (From Scalp To Not More Than 1” Away From The Scalp), And A Subtle To Moderate Amount Of Highlights Around Your Face, Part, And Crown, Or

You’re Looking To Have A Moderate Amount Of Highlights (The Equivalent Of A Partial Highlight).

The Complete - $265 - $325+

4 - 5 Hour+ Service

This May Be For You If You’re Keeping The Same Or Similar Style Haircut, And You’re Looking To Have:

A Moderate To Heavy Amount Of Highlights (The Equivalent Of A Full Highlight), Or

Your Grays Covered Or Solid Color Touch Up (From Scalp To Not More Than 1” Away From The Scalp), And A Moderate Amount Of Highlights (The Equivalent Of A Partial Highlight).

Book “The Complete” AND “Additional 30 Min (The Complete)” If:

You’re Changing The Style Of Your Haircut Or Making A Drastic Change To Your Haircut, Or

You Have Extra Thick Or Long Hair That Requires More Product Or Time.

Book “The Complete” AND “Additional 1 Hour (The Complete)” If:

You’re Looking To Have Your Grays Covered Or Solid Color Touched Up (From Scalp To Not More Than 2” Away From The Scalp), And A Moderate To Heavy Amount Of Highlights (The Equivalent Of A Full Highlight),

You’re Looking To Make A Drastic Change To Your Overall Hair Color, Or

Your Hair Color Needs Corrective Work.

Step 2: Follow the Prompts to Book your Appointment. You will be required to put a Credit Card on file (stored securely with Stripe) to book with me, however you will not be charged anything until the end of your first appointment with me, in which you can use whichever payment method is most convenient for you.

My books are open 2 months at a time. If you're unable to book an appointment that works well for you, please fill out this Waitlist form: https://form.jotform.com/hairbyemilycoffin/waitlist in which I'll reach out to you as soon as there is a cancellation/time that opens up for you at your convenience.

Upon submission of both the required digital consultaion form, and appointment request, you will receive an email from Emily within 24 hours to let you know the status of your appointment request. Upon approval, a link will be included for you to fill out the required New Guest Intake Form to gather further information, and emergency contacts.

You'll also be receiving multiple follow up emails from me with a Welcome Packet to download, and more information on how to prepare for your appointment, so make sure to add hairbyemilycoffin@gmail.com to your contacts in your email and always check your junk mail to make sure you don't miss them!
Should be Empty: