New Client Form

After the questionnaire is received, we will send you a follow up email if we need more information. If your appointment request is not accepted and you did not receive an email from us a week before your appointment, please reach out to us to ensure that your submission was received.

nikki@revolt-hairstudio.com

Be sure and answer the questions as detailed and honest as possible. Your appointment will not be accepted until this process is complete. If not completed 1 week before your appointment date, your appointment request will be denied allowing other clients to book at that time.

Name *

First

Last

Email *

Phone (text only) *

What are your preferred pronouns? *

Please give a brief three year hair color history including any at home color: *

Are you currently using salon quality hair care at home? *

How often do you see yourself in the salon? *

Do you have well water? *

Please list any allergies you have and/or medications you're currently taking:

Please list any concerns about your hair that we should know about: *

What is your budget? *

This information helps us tailor your services to provide appropriate options that align with your budgetary preferences.

Please upload a picture of your current hair. We recommend taking a picture of the front and back of your hair, preferably in natural lighting if possible. *

Drag & Drop Files, Choose Files to Upload You can upload up to 2 files.

Please upload any hair inspiration photos you might have here. *

Drag & Drop Files, Choose Files to Upload You can upload up to 2 files.

Please include any additional information about your hair that may be important for your stylist to know/be aware of. *

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