New Guest Digital Consultation

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First Name* This field is required.
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Last Name* This field is required.
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What are your pronouns?* This field is required.
She/Her
He/Him
They/Them
She/They
He/They
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Pronouns
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Email* This field is required.
example@example.com
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Address
Street Address
Street Address Line 2
City
State / Province
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Please Select
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Country
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Phone Number* This field is required.
Area Code
Phone Number
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When is your birthday?* This field is required.
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When is your birthday?
Date
Month
Day
Year
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How'd you find Jackie Young?
Instagram
Facebook
TikTok
Google
Pinterest
Yelp
Local Business
Met in Person
Referral from Friend
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What did you Google? What search terms did you use?
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What's the name of your friend who referred you?
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Are you ONLY looking to book a haircut?
YESNO
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Please book your haircut based on the length your hair currently is, not what you're looking to get.

For example, if you have long hair (shoulder length or longer) and you are looking to go short (pixie or clipper cut), you would book a The Transform.
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Which haircut service do you think you need?
Short Haircut (pixie or clippers)
Mullet (sides and/or top are short, back is longer)
Medium Haircut (chin to shoulder)
Long Haircut (shoulder or longer)
Style change aka The Transform (long to pixie or clipper cut)
Conditioning Treatment
Product Recommendations
Styling Lessons
Other
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Interested in getting color done?
Yes!
No
Maybe
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Tell me about your hair history in the last 3+ years. This ensures that we book you for the correct service and time.
I have not colored my hair in 3+ years
I have gotten my hair colored professionally
I have colored my own hair
I have gotten highlights done, but haven't maintained them
I have gotten highlights done recently
I have/had vivid colors recently
I often change between different vivid colors (ex: blue to pink; green to purple)
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What hair color/product did you use? Please Check all that apply.
From Sally's Beauty Supply
From Online
From Drugstore/Grocery Store
Box Dye
Splat
Overtone
Temporary Hair Color Rinse
Other
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What color services do you think you'll need?Please note that I may have you come in for a haircut + color consultation.
Grey Coverage
Balayage
Highlights
All Over Lightening
All Over Darkening
Color Correction
Shadow Root
Lowlights
Toner
Vivids
Other
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Service Menu
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Image Field
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Image Field
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Image Field
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Based upon Jackie's Service Menu, what Service Package are you thinking you may need?
The Define (For sharp, tailored short styles. Think fades/pixies $95+)
The Revive (Maintaining a current style $110+)
The Transform (Big haircut change $155+)
The Refresh ($200+)
The Maintain ($300+)
The Virgin ($350)
The Rainbow ($400-600+)
Other
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Hair Density Examples
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How would you describe your hair density/thickness?
Extra Light
Light
Light - Medium
Medium
Medium Heavy
Heavy
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Hair Length Chart
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In the state that you wear it most often (Natural, Straightened, Smoothed, Curly etc.), How would you describe your hair length?
Short
In between Short & Medium (like a mullet!)
Medium
Long
Extra Long
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Your hair history within 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.
Other
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What do you like best about your hair right now? What do you NOT like about your hair right now?
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Small
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How much time do you spend on your hair in the morning? What does your routine look like on most days?
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Please upload 2-3 photos of your hair as it looks today. I would love to see it from the back and front, unfiltered. No need to look fancy! I just need to have a look. Natural light helps me get the clearest assessment, so car selfies and near bedroom windows are perfect. * This field is required.
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Select files to upload
Max. file size: 10.6MB
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Please upload 1-2 photos of your hair goals. You can find inspiration photos through google, Instagram or Pinterest. * This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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Is there anything else you'd like to share? Do you have any allergies?
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Please verify that you are human* This field is required.
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