New Client Inquiry

Name *

First Name

Last Name

Phone *

(###)

###

####

What type of services are you interested in? *

Haircut

Dimensional color (highlights)

Gray coverage/root touch-up

All over color

Keratin smoothing treatment

Other (please complete field below)

How often do you visit the salon? *

4-6 weeks

6-8 weeks

10-12 weeks

Other (please complete field below)

Was your last hair color service applied by a professional?

Yes

No

What is the current condition of your hair: *

Check all that apply.

Hair loss or breakage

Damage due to heat

Split ends

Dry, brittle

Limp, flat

Normal/healthy (no concerns)

How did you hear about me?

Website

Social Media

Referral