New Client Inquiry Form
@hairbysamaral
New Client Inquiry Form
Thank you for your interest in booking with Hair By Samara L. This form allows me to assess your hair history, goals, and suitability for your desired service. Please complete thoroughly. Appointments are confirmed after review.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Instagram handle
*
Have you ever had permanent hair color on your hair?
*
Yes
No
Have you ever had box dye on your hair?
*
Yes
No
When was your most recent color service?
*
0-3 months
4-6 months
7-12 months
12+ months
How often do you like to get your hair done?
*
6-8 weeks
10-12 weeks
4-6 moths
8-12 months
What service are you interested in?
*
Blonding
Dimensional color
Transformation
Color Correction
Extension Consultation
Haircut
Which day of the week would you prefer to book? (Select all that apply)
*
Monday
Tuesday
Thursday
Friday
Saturday
Please upload photos of your current hair in natural lighting:
*
Browse Files
Drag and drop files here
Choose a file
Front and back view*
Cancel
of
Please upload your inspiration photos:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Have you reviewed my pricing and investment range?
*
Yes
No
*Before moving forward, please take a moment to review my service pricing and investment ranges on my website. This ensures we’re aligned before scheduling your appointment.
https://hairbysamaral.glossgenius.com/
Thank you for taking the time to complete this consultation form.Submitting this form does not automatically confirm an appointment. Each request is carefully reviewed to ensure your desired results align with the current condition and history of your hair.You can expect a response within 24–48 business hours with next steps, booking options, or a recommendation for an in-person consultation if needed.
*
Please ensure your email and phone number are entered correctly, as all communication will be sent there.
Please share any other questions or comments you have!
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