Name *

First Name

Last Name

Phone *

(###)

###

####

Please select what you are wanting to achieve in your first appointment.. *

Check all that apply.

Haircut- trim

Haircut- big change

Haircut- curly hair

Haircut- clipper cut

Conditioning or Repair treatments

Hand-tied Extensions

Grey Coverage

Lived-in hair color

Vivids (aka rainbow colors)

Platinum

Add more dimension

Go Lighter

Go Darker

Correct an uneven color

Blend harsh grow out lines

Cooler/ash tones

Warmer/golden tones

Red tones

How would you describe your hair? *

Check all that apply.

Fine

Medium

Coarse

Thin

Thick

Straight

Wavy

Curly

Coily

Oily

Dry

Flat/Limp

Heavy

Frizzy

Damaged

Lacks Shine

Healthy

How would you describe your Scalp? *

Check all that apply.

Oily

Normal

Dry

Flaky

Are you currently experiencing any Hair or Scalp issues? *

Check all that apply

Thinning

Dandruff

Excess Oil

Dry Flaky Scalp

Breakage

None of the above

Which is most important to you? *

Getting to my goal color as quickly as possible, preferably in one session.

Maintaining the integrity and health of my hair and keeping as much length as possible even if that means not getting my desired color in one session.

Just a cut. No color