New Client Form

How did you hear about Janeth?

What is your current hair color / situation?

Have you used box dye in the last 2 years? *

Yes No Not sure

When was your last color service?

Where did you last get your hair done?

Do you have extensions? *

Yes No

Any known allergies or sensitivities? (hair dye, latex, fragrances, etc.)

Service you are interested in *

Preferred time of day

Morning (10AM–12PM) Afternoon (12PM–4PM) Late afternoon (4PM–7PM)

Describe your hair goals *

Inspiration / inspo photo links (optional)

Budget expectation

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