NEW CLIENT APPLICATION

Please fill out an application if you have not yet been into Altered Hair Design
(or if it has been 1yr+ since you have been in). This general questionnaire will help find out if we would be a good fit together as stylist and client!

First and Last Name (+Pronouns)

Tell me about yourself!

How did you hear about me?

What services are you interested in?

Wavy/Curly Haircuts

Short/Mid-Legnth Haircuts

Long Haircuts

Single Color (Root retouch, glaze, ETC)

Multi-Color (Highlights, Balayage, Babylights, ETC)

Transformation (Big change, Fashion Color, Corrective Color)

What does your availability look like?

Mornings (8am - 12)

Afternoons (12 - 3pm)

Anytime

How often do you like to go to the salon?

Describe your current hair and/or hair goals!

Select the following items that your hair has experienced in the last 10 years: (select all that apply)

Professional Color - (In salon, applied by a professional)

Home color - (box, sallys, sun-in, overtone, madison reed, etc)

Henna

Perm or Relaxer

Brazilian Blowout or Keratin Treatment

Hair loss

None of the above - Never altered my natural hair

None of the above - Not listed

Other

Upload current pictures of your hair [Natural lighting is best}

Upload Image 1 (Required)

2nd Image of current hair

Upload Image 2

Upload images of hair inspiration/goals [Required if looking for color services]

Upload Inspiration Image 1 (Required if looking for color services)

2nd Image of hair inspiration

Upload Image 2

Pineapple + Pizza = *

No... just no.

A perfect match!

I plead the 5th.

Your application has been submitted! Please give 5-7 business days for a response.

601 N. Sherman Ave
Suite #109

alteredhairdesign@gmail.com

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