New Client Intake Form

New Client Intake Form

It is my sincere desire to provide you with the most honest and thoughtful hair care services you have ever received.
To do that, I would like to learn more about you and your hair care needs.
All the information you provide will be kept strictly confidential.

First & Last Name

Cell Phone

Please describe your hair color, texture, and style.

Please describe your hair color goals.

Please describe any sensitivities or other concerns you might have.

If you have artificial color in your hair, please provide a brief color history.

Please select the type of consultation you would like to schedule.

PLEASE USE THE PAYMENT LINK BELOW TO PAY FOR THE REQUESTED TIME & SERVICE.

Clear choice

In-Person Salon Consultation.

20 minute Herbal Color Video Consultation. Payment required prior to booking.$40.00

30 minute Video Coaching Session with follow-up email summary of conversation.$100.00

Video consultations are scheduled on Wednesdays.
Please let me know a few times that work for you in the coming weeks. If your requested time is available, you will be scheduled once payment is received. Otherwise, you will receive an email with a few alternate days/times to choose from.

Please > Pay for your video consultation < BEFORE submitting this form.

Clear choice

I have scheduled an in-person, pre-paid salon consultation.

I have paid for the requested service, using the payment link above.

Verification

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