New Guest Consultation Form

1

Full Name* This field is required.

2

Instagram Username and Phone Number.* This field is required.

3

Email* This field is required.

4

Address* This field is required.

City

State / Province

Country

5

How Did You Hear About Me? * This field is required.

7

How often do you wash your hair?* This field is required.

8

How often do you use heat tools?* This field is required.

9

What is your hair history for the past 3 years? * This field is required.Select all that apply.

10

What are your hair goals for this appointment?* This field is required.

11

Do you have well water, filtered water or neither?* This field is required.

Well water

Filtered water

Neither

12

Are you interested in hair extensions?

YESNO

13

Please upload 2 Images of your current hair in natural lighting.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

14

Please upload 2-4 inspiration images of your dream hair.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

15

Policies* This field is required.