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New Client Intake Form
First Name
Last Name
Email Address
Phone
Which is your prefered method of communication?
Text
Email
What type of service are you looking for?
*
Required
Hair Cut
Hair Color
Styling
How often will you require hair maintenance
Choose an option
How satisfied are you with your current hair?
*
Required
I love it
It's fine, but I'm open to suggestions
I dislike it
What do you like or dislike about your hair? What is your goal?
Click all that apply to your current hair
*
Required
Thin
Thick
Wavy
Curly
Straight
Fine
Course
Dry
Damaged
Short
Medium
Long
In the last 7 years, have you EVER done a home color job o used a store bought box color on your hair? if so, when and how often?
What are you looking to change about your hair?
Lighten
Darken
Change tone
Cover Grey
Add dimension
Remove Warmth
Add Warmth
Balance uneven color
None of the above
What if any is the reason you're looking for a new stylist?
Upload a picture of your current hair
Upload File
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Upload your hair inspiration picture
Upload File
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Who referred you? I'd like to thank them.
I understand that this is only a consultation intake form. By submitting this form I understand that it does NOT guarantee me an appointment. I have viewed current pricing and services. I also understand that Nicki will get back to me within 3 business days.
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