New Guest Pre-Visit Consultation

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.
Please enter a valid phone number.
4
BirthdayIf you'd like to share your birthday, I have something special waiting for you when it comes around.
5
How did you find Nirvana Hair Studio?* This field is required.Scroll Down To See All Options
Please Select
Please Select
Referral from a friend
Instagram
Facebook
Google
Yelp
6
What's the name of the friend/family who referred you?
7
What are your goals for your appointment?* This field is required.
Haircut only- I am not interested in coloring my hair
Maintain current color
Looking for something different
8
Check off all of the services you think you might need.* This field is required.
Hair Extensions
Grey Coverage/Base Color
Grey Diffusing/Blending
Balayage
All over solid color
Full Highlights/Lowlights
Partial Highlights/Lowlights
A Few Face Framing Highlights
Color Correction
Haircut
Conditioning Treatment
Brow Tint and/or Wax
9
In the past year, what is your hair's color history?* This field is required.
All color has been done in a salon
Has only been at-home color
A mix of at-home color and professional
I have not colored my hair in 1+ years
10
When was the last time you colored your hair?
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What hair color/product did you use?* This field is required.Please check all that apply
From a Sally Beauty Supply
From Drugstore/Grocery Store
From Online
Splat
Other
12
Describe the length and density of your hairPlease choose 2 options- 1 for density + 1 for length
Fine
Medium
Thick
Very Thick
Short-above shoulder
Medium-shoulder to collar bone
Long- collar bone to shoulder blades
Very long - shoulder blades or longer
13
Is there anything else you'd like to share?* This field is required.If you don't have anything to add, please just type N/A
Huge
Large
Normal
Small
Ok
Ok
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One Last Thing...

In order to properly schedule you and provide the best service possible, it is helpful that you complete the next step.

What I'll need are:

** 1-2 photo(s) of your current hair...

(A quick selfie to show off your current hair in a well-lit room is great!)

** 1-2 photo(s) of your goal hair and inspirations...

(Google and Pinterest are great resources)

I'm so excited, I can't wait to pamper you!!
15
Please upload 1-2 photos of your current hair A quick selfie of your hair in a well-lit room is great! No filters please
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Browse Files
Cancelof
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Please upload 1-2 photos of hair that inspire you Google and Pinterest are great resources for this. This is VERY helpful in determining which services to book and how much time I need to achieve your desired results. Pictures only, no videos please.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Browse Files
Cancelof
17
AI Recommended Service (DO NOT DELETE OR UNHIDE)
18
AI Consultation Notes (DO NOT DELETE OR UNHIDE)
19
AI Recommended Service (DO NOT DELETE OR UNHIDE)
20
AI Consultation Notes (DO NOT DELETE OR UNHIDE)
Should be Empty: