Waitlist Client Form
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
How were you referred?
*
Instagram, Facebook, friend/family
Do you have previous hair color on your hair, within the last 5 years?
Yes
No
Have you had your hair lightened/bleached within the last 5 years?
*
Yes
No
When was the last time you had your hair treated with any kind of chemical service?
*
Last time a color, temporary color, lightener/bleach, keratin, perm, etc was applied? Was it at home or in a salon?
Do you use hair products? What is your home care routine?
*
Shampoo, conditioner, treatments, sprays, etc. Proper hair care is required to maintain color.
Do you use heat on your hair? How often?
*
Curling iron, blow dryer, flat iron, etc
How often do you wash your hair?
*
Daily, weekly, etc
Best days and times for an appointment?
*
Days, evenings, weekends (Tues-Sat)
What do you not like about your hair?
*
Color, hair condition, hair cut/style, texture, etc
What are your hair goals?
*
Lighter, darker, gray coverage, fashion color, balayage, full highlight, etc
Are you interested in booking a consultation for extension during your appointment?
*
Yes
No
Please attach a photo of current hair in good lighting
*
Browse Files
Drag and drop files here
Choose a file
Best lighting in front of a window, or in your car, photo of hair rather than a selfie
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Please attach a photo of hair inspirations
*
Browse Files
Drag and drop files here
Choose a file
Inspiration pictures are customized to your existing hair condition and starting point, we use these inspiration pictures to get close to your goal
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of
If for some reason you can’t get it to work I’m your phone you can always send me pictures on instagram or email once you complete this form.
@chelseaadamsbeauty Chelseaadamsbeauty@gmail.com
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