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Diane K Hair

New Client Intake Form

Answer a few quick questions — it only takes a few minutes.
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How did you hear about Diane K Hair? (required)
Which friend/family/internet page referred you? I would like to thank them!
For legal reasons are you over 18? (required)
Parents filling out the form for your child/teen, please let me know what services you're allowing them to receive.
Which day of the week is best for you? (required)
What time of day is best for you? (required)
How Would You Describe Your Hair Texture & Density? Choose all that apply (required)
What Is Your Current Hair Length? (required)
When was the last time you colored or had any retexturizing services done to your hair? What did you have done? (required)
In the past 3-5 years, what is your hair's chemical service history? (required)
Share at least 1 current photo of your hair or inspiration photo of your goal hair, please upload them here (required)
JPG or PNG. Large phone photos are optimized automatically. Selected — tap change to pick another.
Upload any other inspo or current hair photos you have
JPG or PNG. Large phone photos are optimized automatically. Selected — tap change to pick another.
Upload any other inspo or current hair photos you have
JPG or PNG. Large phone photos are optimized automatically. Selected — tap change to pick another.
Chose all of the services you are interested in. (required)
Is there anything else you'd like to share.-ie. why you're looking for a new salon/stylist, what you liked/disliked, etc
Groupon Clients
Which Groupon service voucher did you purchase? (required)
Enter the voucher number shown on your Groupon. (required)
Information
Thank you for taking time to fill out this form. Use the password GROUPON to access the private Groupon booking menu. Please book only the service that matches your purchased voucher. Your voucher will be verified before your appointment. I look forward to meeting you soon.
Final step
Your contact details
We’ll use this to attach your responses.