BOOKING APPOINTMENTS

Are you a*

Name*

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Email*

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Phone*

Date*

Time*

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Service Type*

Do you have a stylist level you prefer for your service? If so, please list level below.

Comments

Please note that the date and time you requested may not be available. We will contact you to confirm your actual appointment details.

ABOUT YOU

Let’s get to know each other.

Name*

First Last

Phone*

Email*

What is your birthday month?

So we can celebrate you with a special surprise!

I prefer to be contacted by:*

Phone
Email

Have you been to Therapy Salon before?*

Yes
No

How did you hear about us?*

If referred by a friends, please list their name below!

Do you have a stylist level you prefer for your service? If so, please list level below.

ABOUT YOUR CURRENT HAIR

How long is your hair?*

Describe your natural hair (color, texture, shape, etc.)*

How would you describe the condition of your hair?*

Healthy
Thick
Fine
Slightly Damaged
Somewhat Damaged
Very Damaged

Do you currently have non-professional hair color on your hair?*

Yes
No

What brand?*

Do you have any known scalp or skin allergies or irritations we should know about?*

Is this a color correction?*

*Please note, for corrective color, please be aware that 2-3 visits may be required to achieve the desired results and rebuild the hair’s integrity.

Yes
No

Have you had a chemical process performed on your hair in the last year:

Permanent Wave*

Yes
No

Chemical Relaxing*

Yes
No

Bleaching?*

Yes
No

Other

Let us see you!

Upload a picture of your hair (preferably the front, back, and sides).

Drop files here or

Accepted file types: pdf, png, jpg, gif, jpeg, Max. file size: 50 MB.

ABOUT YOUR DREAM HAIR

My next appointment is for:*

Cut
Color

Do you want to make this a silent appointment?*

Your stylist will only talk through appointment and hair related questions to allow you a relaxing quiet experience.

Yes
No

For Cut: Tell us what services you would like performed. Please be as specific as possible.

For Color: Tell us what services you would like performed. Please be as specific as possible.

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ABOUT YOU

ABOUT YOUR CURRENT HAIR

ABOUT YOUR DREAM HAIR

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