New Guest Consultation Use the form below to explain the look you are going for. Name First Last Cell PhoneDateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Email Address Home Address Street Address City ZIP / Postal Code What Services are you looking to have done? Haircut Hair Color New Treatment (straightening, perm, etc) Makeover / New look Conditioning Treatment What is your budget for your desired new look?$40-60$60-120$120-300+Photo 1: Root area showing any grey or outgrowthPhoto 2: Picture from back or sidePhoto 3: Forward Facing to show face shapeUpload any inspiration of desired end-result Drop files here or How would you rate the overall condition of your hair?When was your last salon visit?2-4 weeks4-8 weeks8-12 weeks12+ weeksWere you pleased with your last cut and style?YesNoSomewhatN/ALast Cut and Style NotesWere you pleased with your last color or texture service?YesNoSomewhatN/ALast Color or Texture Service NotesWhat hair care products do you currently use at home?Please list shampoo, conditioner, treatment, styling or any products that you put in your hair.How often do you shampoo?DailyEvery other dayTwice a weekOtherWhat tools do you use when styling your hair? Blow Dryer Round Brush Flat Iron Curling Iron Other How much time do you dedicate to styling your hair each day?What are your styling challenges?Have you ever experienced an allergic reaction to any products or services such as color application, perm or straightening services?YesNoPlease explain allergic reactionStylist RequestIf you have a Stylist in mind, please select them below, otherwise we can pair you with one based on your survey and availability. Liz Rajcan Abbey Carli Kendra Herring Sarah Scalpelli