Intake Form

Contact Info

Are you fully vaccinated for Covid-19?

Yes No No problem! Keep in mind as of now we are mandated to have a Covid test within 72 hours of your appointment.

I prefer to be contacted by

Text Phone Call Email
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Are you a new client or returning customer?

New Customer Returning Customer
  • I got my color done at Blonde/Blond last time
  • I did not get my color done at Blonde/Blond
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Hair History

Are you currently blonde?

Yes No

Do you want to stick with the same pattern/tone you currently have?

Yes No

Would you like to go

  • Lighter
  • Darker
  • I don't know
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Current Hair Specs

About how long is your hair?

  • Really Short
  • Short
  • Medium
  • Long
  • Really Long

Is your Hair

  • Thin Barely There
  • Thin to Average
  • Average
  • Average to Thick
  • Thick
  • I need two rubber bands to hold my hair up and it gives me a headache there's so much of it
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Chemical History

List the history of your past color services, chemical services, or any pigmented shampoo and conditioner you use.

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Hair Home Care

Do you heat style?

Yes No

Check all that apply:

  • Blow Dryer
  • Flat Iron
  • Air Wrap
  • Curling Iron
  • Blowdry Brush

How many times a week

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Do you wear extensions?

Yes No

If yes, what kind?

  • Tapes
  • Clip Ins
  • Wefts
  • Beads
  • Manual Type in which type

Do you have them in now?

Yes No
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Desired Outcome

Yes No

Images of hair now

Hair I like

Hair I don't like

Submit