New Color Client Form
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
What is the best way to reach you during the day?
*
Text
Phone Call
Email
When would you prefer to schedule your appointment?
Weekday Morning
Weekday Afternoon
Weekday Evening
Weekend Morning
Weekend Afternoon
How soon would you like to schedule your appointment?
ASAP
Next Two Weeks
Next 3-4 Weeks
Other
How long has it been since you last colored your hair?
*
Where did you last have your hair colored? (Ex: Salon, Home Box Dye, Friend's House)
*
How would you describe your hair type?
*
Fine & Thin
Fine but a lot of it
Medium
Thick & coarse
Other
How long is your hair?
*
Above Your Chin
Chin Length
Around Your Shoulders
Past your Chest
What condition best describes your hair?
*
Healthy
Dry Ends
Damaged
What is your desired outcome of this appointment? (Select all that apply)
*
Going for a whole new look
Refresh Current Color
Might Need Color Correction
Other
Upload Current Hair Photo(s)
*
Browse Files
Drag and drop files here
Choose a file
PLEASE MAKE SURE THE LIGHTING DEPICTS YOUR TRUE HAIR COLOR, I.E. BEST IN NATURAL DAYLIGHT
Cancel
of
Upload Inspiration Photo(s)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Are you looking to add any other services to this appointment? (Ex: Haircut)
*
Would you be interested in Natural Beaded Rows Hair Extensions?
Yes
No
Tell Me More!
Have you ever had an adverse reaction to hair color?
*
How did you find us?
Please add any other notes or information you would like us to know.
Submit
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