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Jewelz Hair Co.
Jewelz Hair Co.
New Client Form
“
Invest in your hair it is the only crown you never take off.” - unknown
Name
*
First Name
Last Name
Email
*
Phone Number
How did you hear about us?
When is the last time you had your hair cut?
*
Less then four weeks ago
1 - 2 months ago
2 - 4 months ago
4 - 6 months ago
6 months +
When is the last time you had your hair colored?
I have never colored my hair
Less then 4 weeks ago
1 - 2 months ago
2 -4 months ago
4 - 6 months ago
6 + months ago
What services are you interested in?
New hair Style
Haircut
Cut with clippers
Blowout
Hair Treatment
All over solid color
Root touch up
Highlights
Baylayage blonding
Foilayage
Vivid Color
All over blonding
Blonding Root touch up
How would you describe your hair strand texture? Select as many as apply.
*
Fine
Course
Thick
Smooth
Mainly Straight
Wavy
Curly
Coily/Kinky
How would you describe your hair density? *
*
Very thin / Actively thinning
Thin
Medium/Average
Thick
Extremely Thick
What days/times are you available? We will make every effort to get you in as soon as possible in line with the information you enter here. The more available you are, the faster we will be able to get you in.
Weekdays 9:30 am - 12 pm
Weekdays 12 pm - 5 pm
Saturdays 11 am - 3 pm
Anytime, I would like to get in ASAP
Is there anything else we should know before booking your appointment?
Thank you!