Client Intake Form
We kindly ask clients to fill out the client intake form below to request an appointment. My team will reach out with booking details and personalized recommendations. Thank you for your understanding!
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Would you consider yourself a local of the surrounding salon area (Orlando, Fl)?
*
Yes, I live nearby.
No, I live far away and travel for this appointment.
Back
Next
What service(s) do you desire to receive?
*
Custom Color (Lighter Color or Blonde)
Full Color (Darker Color or Natural Color)
Relaxer
Silk Press
Haircut & Style
Tape-Ins
Micro-Links
Sew-In
Clip-Ins
iTips
Do you have any hair or scalp issues we need to be aware of ? If no, select N/A.
*
Hair Loss
Dandruff
Alopecia
Eczema
Psoriasis
N/A
Do you have any health issues or on any medication?
*
Yes
No
Do you have any allergies we need to be aware of ? If yes, specify. If no, insert N/A.
*
Tell us about your hair and any concerns you have for your appointment.
*
Please upload a clear photo of your hair's current state.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload a photo of your hair's current state. (Back View)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload an image of your inspirational look or color. (1)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload an image of your inspirational look or color. (2)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please give multiple dates you are available for a potential appointment.
Please add your social media handle below.
*
How did you find Kendra Alia?
*
Instagram
Facebook
TikTok
Other
I understand that by filling out this form, I agree to be recorded for social media and/or educational purposes.
*
Yes, I understand
Submit
Should be Empty: