New Guest Consult Intake

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Name* This field is required.
First Name
Last Name
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Email* This field is required.
example@example.com
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Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
4
Phone Number* This field is required.
Please enter a valid phone number.
5
What or who inspired you to reserve your appointment with me?* This field is required.
I Am A Current Guest!
Friend
Facebook
Instagram
Google
Yelp
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If referred, who can I thank?If you name the person, they will get a special referral gift.
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What do you currently love about your hair?* This field is required.Check all that apply. example: length, color, texture, that favorite go to style, etc you may add details you'd like me to know in the other box
natural texture (my curls, waves, straight)
length
current color
layers
thickness
bangs
manageable-easy to style
no fuss wash and wear
my hair is like my security blanket
not much right now
Other
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What do you currently dislike or struggle with about your hair?* This field is required.Check all that apply. example: length, color, texture, damaged, dry, itchy scalp. An odd part you may add details you'd like me to know in the other box
frizz
no volume
baby hairs and fuzzyfrizzy hairs sticking up
uneven curls
too long
too short
hard to manage styling
tangles easily
not enough layers
too many layers
unhealthy
color
flakes and itchy scalp
dry
breaking, brittle
Other
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How many times a week do you wash your hair?* This field is required.you may add details you'd like me to know in the other box
1 a week
every other day
3 times a week
no shampoo-conditioner only
Other
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Describe how you style your hair* This field is required.you may add details you'd like me to know in the other box
wash with shampoo
condition
use hair masks
air dry
blow dry
always use hair styling products
never use hair styling products
always wear it up
Other
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How often do you keep up on your current style?* This field is required.
4-6 weeks
6-8 weeks
8-12 weeks
twice a year
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What is your hair length?* This field is required.
below my bra strap
almost to my bottom
shoulders/collarbone
chin or above
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Upload your current hair hair here* This field is required.you can use your camera in the next slide
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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Upload your hair goals here* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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Upload any extra photos here. Hair color, specific parts of a haircut you like (Ex just bang area)
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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Please verify that you are human* This field is required.
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Image Field
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Policies* This field is required.CANCELATION POLICY:Your appointment is very important to us. I understand that things can come up. I value your time, and hope you value mine too. I understand that schedule adjustments are necessary; Therefore we respectfully request at least 24 hour notice for cancellations. Cancellations made less than 24 hours from the scheduled service time will result in being charged a rebooking fee. Failure to notify in time will incur a cancellation booking fee of 25% of the scheduled services value. This fee must be paid before rebooking another service. If you have any questions regarding this policy please communicate them before committing to an appointment. Cancellations with less than 24 hours notice are difficult to fill. By giving last minute notice or no notice at all, you prevent someone else from being able to schedule into that available appointment. NO SHOW:A person who makes an appointment but neither keeps it or cancels it.You will be charged a 25% booking fee of what the scheduled services were valued at. This fee must be paid before rebooking another service. In the event you miss three consecutive appointments, you will be unable to schedule future appointments.LATE APPOINTMENTS:In excess of 20 minutes and no shows will be considered cancellations as defined above. This policy is in place out of respect for our stylists and clients. If for any reason Superior Salon and Spa needs to reschedule or cancel an appointment, as much advance notice as possible will be given.Please let us know if you are going to be late prior to your appointment time. If you are excessively late, please keep in mind that we may need to reschedule your appointment and charge a cancellation fee. Accommodating late guests is often impossible without disrupting every guest's schedule that day. Please be aware in the unfortunate event that you are late, we cannot guarantee that your services will be performed that day. It could result in an incomplete service and affect the quality of your service, for which we do not ever feel comfortable doing. Guests who arrive late will be charged in full for their originally scheduled session, ex: If a guest is too late for their scheduled all over color, and there is only enough time to do a root retouch, the guest will still be charged the original all over color pricing. If your stylist is running behind for your appointment because of tardy guests, a lengthy blow dry, or an extensive color service, you will be notified immediately prior to arriving at the salon and a complimentary level 1 deep conditioning service will added to your next appointment. SERVICE ADJUSTMENT POLICY: Your satisfaction is the highest priority. If you are not completely content, please let me know during your service or within 7 days after your service has been performed. I am committed to making any needed corrections, as long as it falls in the services discussed and agreed upon during the consultation. I will be pleased to accommodate you free of charge in most circumstances. For said complimentary service to be done, this request must be made within 7 days of your initial appointmentPRODUCT RETURN POLICY:A very lightly used product may be returned by the next scheduled appointment. Make sure to reach out with your concerns as soon as possible after using the product. Online sales return policy is available at https://shop.saloninteractive.com/store/SuperiorSalonandSpaSALON ETIQUETTE:Discriminatory/Derogatory statements and actions are prohibited in the salon and will not be tolerated. Our staff has the right to refuse service to anyone behaving improperly, intoxicated or if their state of health may influence the effects of the service. CONFIDENTIALITY AND PRIVACY:Every client has the right to privacy and confidentiality. The conversations you have with your stylist will remain confidential. Client information and email lists are confidential and will not be sold or shared with outside companies. For more details visit the webpage https://www.superiorsalonandspamqt.com/privacy-policy MINOR AND CHILD POLICY:Children are only permitted in the salon when the child is receiving a service. For safety reasons and insurance purposes, no child under the age of 8 may accompany you while you receive a service. We do not have the facilities to care for and keep watch at all times on children. We feel as a business, children who visit the salon during their parents' appointments or children who are unattended in the waiting area pose a safety issue. We love children, and we hope you understand that we cannot assure their safety in a professional environment with sharp objects, hot objects, and chemicals. We also do not want to compromise the relaxation of our guests. Your understanding is greatly appreciated. During their appointment, children need to be able to sit still so that the stylist can perform a quality service. A child or minor receiving a chemical or spa treatment must have consent from a parent. We may ask the parent or accompanying adult to stay for the full time of the appointment.PRICING AND PAYMENT: Prices listed in the Service Menu on our website may be starting prices only. The price of your service may vary from the listed price based on the service(s) you receive, as well as the length and density of your hair. Pricing may vary for each stylist based on their level of experience along with the demands for their time. For exact pricing with your service provider, please directly contact your service provider. All prices subject to change and do not include sales tax or gratuity. Payment for salon services is expected to be paid at the time of service. We reserve the right to change prices and services at any time without notification. We accept: Visa, MasterCard, Discover, American Express, Salon Gift Cards/Certificates, cash and check. If your check can not be processed or is returned, you are responsible for a fee of thirty five dollars. This fee must be paid before rebooking another service.Superior Salon and Spa is not responsible for lost or stolen items.Please respect the right to a relaxing atmosphere Please respect the shared parking lot.
I have read and understand these terms, policies, and conditions.
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Liability & Policy Waiver (Sign)Then Hit SUBMIT* This field is required.By reading and agreeing to this statement, I have read and understood all of Superior Salon And Spa's Policies found at https://www.superiorsalonandspamqt.com/policies and stated in this memo. I also understand that Superior Salon And Spa and I will have an in depth conversation speaking about all aspects of appointments, in which I agree to and acknowledge, including price, and the expected physical and aesthetic results. I hereby release and agree to hold Superior Salon And Spa harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses, and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the salon, or that may otherwise arise in any way in connection with any services received from Superior Salon And Spa. I understand that this release discharges Superior Salon And Spa from any liability or claim that I, my heirs, or any personal representatives may have against the salon with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Superior Salon And Spa. This liability waiver and release extends to the salon together with all owners, partners, renters, and employees.
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