New Client Digital Consultation Form

First name

Last name

Email

Phone

Address

How did you hear about me?

What does your hair look like currently?

What is your desired hair goal?

What is your set budget for your appointment?

Please give me a brief timeline of your hair color history over the past 5 years. Include whether it was done professionally or at home.

How would you describe your hair? Select all that apply.

Fine

Medium

Coarse

Straight

Wavy

Curly

Grey

Short

Long

Thick

Other

What time of day do you prefer?

Weekday Mornings

Weekday Afternoons

Weekday Evenings

Weekends

I'm flexible! I just want the first available.

Is there anything else you would like me to know about you or your hair?

Contact

ADDRESS

10111 E. 21st St. N.

Bldg 403 Suite 104

Wichita, KS 67206

PHONE NUMBER

316-531-4526

SOCIAL MEDIA

HOURS OF OPERATION

Mon: 12pm - 7pm

Tues: 12pm - 7pm

Wed: 11am - 5pm

Thurs: OFF

Fri: 10am - 4pm

Sat: 10am - 2pm

Sun: OFF

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