New Client Application

1

Name

First Name

Last Name

2

Email

example@example.com

3

Phone Number

Please enter a valid phone number.

4

City, State

5

How did you hear about RomeosReflections?

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Service Menu

8

Based upon RomeosReflections Service Menu, what Service Package do you would work best for you?

Little Things (clipper/buzz cut or shampoo only)

Refresh & Reset

Big Shift

Trim & Treat

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10

What hair Density do you think have?

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In the State you wear it most often (natural straightened, smoothed curly, etc.) How would you describe your hair length?

13

Hair history within the last 3+ years?

I have colored my own hair.

I haven't had my hair colored in the past 3+ years.

I have gotten my hair done professionally.

Other

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What is it you want to get done? Is there anything else you'd like to share?