New Guest Form

First name

Last name

Phone

Address

Email

Instagram Handle

Birthday

Month

Day

Year

How did you hear about me?

Would you prefer to have a quiet appointment today?

Yes

No

This would include minimal conversation and allow plenty of time to work or relax if that's how you'd like to spend your visit!

What digital resources have you already checked out?

Website

Instagram

Google

Describe what you would like to achieve during your visit today:

What services are you considering for the future:

What are some of your primary hair concerns:

Which of the following have you experienced in the last year?

Thinning

Dry Hair

Breakage

Greasy Hair

Split Ends

Flakey Scalp

Scalp Irritation/Burning

Frizz

Lack of Volume

Damage

Have you ever colored your hair at home?

Have you ever had an adverse reaction to hair color?

Yes

No

Have you ever had a haircut you weren't happy with?

Yes

No

Have you ever had a color service you weren't happy with?

Yes

No

How often do you prefer to come into the salon

What is your anticipated budget for today?

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