Name
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First Name
Last Name
What are your pronouns?
Phone
*
(###)
###
####
Email
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Emergency Contact Name
*
Emergency Contact Phone Number
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Instagram Handle
Birthdate:
Are you seeking a tranquil appointment? This option caters to those who yearn for a serene experience, where they can simply close their eyes and unwind. Rest assured, we will conduct a comprehensive consultation to ensure your needs are met. While I may ask questions during the service, there's absolutely no obligation for casual conversation.
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Yes
No
Indifferent
When did you last have your haircut?
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Less than 4 weeks ago
1-2 months ago
2-4 months ago
4-6 months ago
6+ months ago
When did you last have your hair colored?
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I've never colored my hair
Less than 4 weeks ago
2-4 months ago
4-6 months ago
6+ months
Have you ever had adverse reactions to hair color?
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Yes
No
If yes, please tell me about your reaction.
Currently, which services do you generally receive? Please select all that apply.
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Haircut (scissors & razor)
Clipper cut (fade & taper)
Beard work (trim, blend, outline)
Weekly styling
Professional conditioning treatments
Smoothing treatments
Waving treatments (perm)
Twists or Braids
Grey coverage hair color
All over hair color, without grey coverage
Highlights (lightening)
Balayage (lightening)
Lift & Tone (with bleach) or extensive blonding
Vivid color (vibrant fashion colors and pastels: purple, orange, pink, etc.)
How would you describe your individual hair strand texture? Please select all that apply.
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Fine
Thick
Course
Smooth
Rough
Mainly straight
Wavey (S shaped)
Curly (S & spiral shaped)
Coily (spiral shaped)
Tight coils/zig zags
Describe your overall hair density-
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Very thin/actively thinning
Thin
Medium/Average
Thick
Currently, how would you describe the length of your hair?
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Above ears
Between ears and chin
Between chin and top of shoulders
Between top of shoulders and underarm
Between underarm and mid back
Reaches lower back or longer
Which service(s) are you looking to schedule on our first date? Please select all that apply.
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Haircut (scissors & razor)
Clipper cut (fade & taper)
Beard work (trim, blend, outline)
Weekly styling
Professional conditioning treatments
Smoothing Treatments
Waving treatments (perm)
Twists or Braids
Grey coverage hair color
All over hair color, without grey coverage
Highlights (lightening)
Balayage (lightening)
Lift & tone (with bleach) or extensive blonding
Vivid color (all over or in select areas)
Color Correction
Other
Why are you looking for a new stylist?
What is your beauty budget for this requested appointment?
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Please provide your availability in terms of days and times. Rest assured, I am committed to accommodating you as swiftly as I can based on the details you provide. The more flexible you are with your schedule, the more expediently I can secure an appointment for you.
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Weekdays 9am-12pm
Weekdays 12pm-4pm
Weekdays 4pm-8pm
Weekends 9am-12pm
Weekends 12pm-4pm
Weekends 4pm-8pm
I'm usually very flexible
I will make anything work, I just need to get in ASAP
Is there anything else I should know before scheduling your appointment?