New Client Request Form

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What is your first and last name? *

What is your phone number? *

Please take 3 clear photos of your current hair in natural lighting and upload them

Upload 2 inspiration photos to give me an idea of what your end goal is

Do you have permanent color on your hair? *

Have you ever had box color or colored your hair at home? *

Do you have grey hair? *

Are you interested in luxury hair extensions? *

Do you have any current scalp conditions? *

Do you have any medical conditions or take any medications that affect your hair? *

What is your main expectation and goal for your hair appointment? *

Are mornings or afternoons preferred? *

Would you prefer to be contacted by text or by a phone call? *

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