Name *

First Name

Last Name

Phone *

(###)

###

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Are you interested in learning about HaloCouture Hair Extensions?

Hair ordered upon purchase. Any and all hair extensions purchases & sales are non-returnable & non-refundable.

Yes

No

What is your overall expectation and goal? *

Click all that apply

To protect /maintain the integrity of my hair in optimum condition.

To come closest to my color goal within reason (the hair's history dictates the reality of what can safely be achieved on a color request).

Short hair appointment times (in and out).

Low maintenance (max 4 salon visits per year).

Which one of the following best describes your personality? *

Click all that apply

Classic

Natural

Trendy

Bold

Dramatic

Eclectic

The following hair treatments is what I've done to my hair in the past: *

Check all that apply

In salon only color maintenance

In salon only highlights

In salon only glazes/toners

Store bought hair dye in browns and/or blacks

Store bought hair dye in reds

Store bought hair dye in blondes or for highlights

Fashion/vivid colors

Henna

Perms, relaxers, de-frizzing treatments, permanent straighteners

None of the above

How frequently can you commit to a scheduled calendar maintenance to keep your style from loosing its overall effect? *

4-6 weeks

6-8 weeks

8-12 weeks

Less than 4 salon visits per year

Some color jobs can require multiple hours. What kind of time commitment are you able to dedicate to an appointment sitting?

1 hour

2 hours

What ever it takes to allow my service provider to complete their work per my expectation.

Have you ever experienced any allergic reaction to hair color? *

Yes

No

I don't know, I've never had hair color before.

New data has informed our industry that some who have recovered from COVID will develop new allergies to hair color. Would you like our professionals to conduct a new allergy test before your appointment? *

Results can take up to 72 hours to develop.

Yes

No

Do you tend to lead during your appointment or allow the stylist to make their professional recommendations? *

Lead

Ask for Recommendations

Click on the pricing that best reflects on your budget. *

Our salon and team are structured on a level system based on the service provider's demand of their time and DOES NOT reflect on their skill level. By selecting a budget range, you would be helping us guide you towards the right stylist and level that comes closest to your price expectation.

$50-$100

$150-$300

$250-$400

$350-$600+

Do you use professional hair salon products to protect and prolong the life of your color investment? *

Yes

No

Sometimes

Time frame request for consultation *

If you're filling this form out for a zoom consultation request, please note that time frames range from $18-$26 per 15 minutes time frame and fall under our structured level system which reflects the service provider's demand and value of their time. Please check which time block you would like to request.

15 minutes

30 minutes

Please read and check the box below confirming you understand and have provided us with the best knowledge of your hair's history. *

By checking the box below, I state that I have reviewed this questionnaire and understand that its intent is for quality purposes and for the service provider to better understand my hair. I understand that some appointments require multiple visits to achieve the overall expectation and is a possible outcome that may fall due to the history and condition of my hair. I understand that the service provider is not responsible for any previous damage that may have occurred to my hair at another salon establishment. I understand that at any point, if the service provider discovers an unfavorable reaction in my hair that could result in damage, they will notify me and we will come to a stopping point to to reevaluate our color expectation to focus on preserving the integrity of my hair. I aggree to cooperate with my service provider to seek a healthier color alternative. I understand that I will still be responsible for the cost of time and product used for the entire length and process of my appointment. I am providing as much valuable information as I can to the best of my knowledge to prevent unpredicted results that may come at a higher cost if not disclosed.

I Agree