Bella Salon & Spa
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Guest Pre Service Consultation
Please answer the following questions as best you can and send them back to your salon/stylist prior to your next appointment.
Thank you for your interest in becoming a new client. We will get in touch with you as soon as possible.
First Name *
Last Name *
Birthday *
Email *
Phone Number *
Preferred Stylist
Select Choice
Nina Childers
Ashley Jakubik
Morgan Johnson
Kacee Hamilton
Maria Nucifora
Becky Higgins
Jenn Lupo
Christie Lisnow
Karen Zaffarano
Maddie Kerns
Madison Perry
Stef Huntington
Kristie Ramos
Julie Durdaller
Sara Beidler
Mackenzie Stone
Lindsey Oscar
How did you hear about Bella Salon & Spa?
Select Choice
Facebook
Instagram
Eufora Website
Google
Yelp
Other Guest
How often do you frequent the salon?
2-4 Weeks
4-8 Weeks
8-12 Weeks
12+ Weeks
When was the last time that you loved your hair?
What services are you interested in?
Lashes
Cutting/Styling
Bridal
Massage
Skin
Waxing/Makeup
What concerns do you have with your hair?
Breakage
Frizziness
Coarse/Unruly Texture
Oily Hair or Scalp
Dry Hair
Hair Loss/Thinning
Difficulty Styling
Sensitive Skin/Scalp
Lacks Shine
Scalp/Skin Condition
Lacks body/Volume
Are you currently on any medication that could possibly affect your hair?
No
Yes
What shampoo, conditioner and styling products do you currently use?
Is there anything specific I should know about your hair? (Kicks out on one side, Growth patterns, etc.)
When's the last time you made a major change to your hair?
What tools do you use to style your hair?
Round Brush
Blow Dryer
Curling Iron
Flat Iron
Have you experienced an allergic reaction to any products or services such as color application, permanent chemical hair services? (If yes, please discuss with your stylist)
No
Yes
If yes, what?
What is your morning beverage choice?
Select Choice
Regular Coffee
Decaf Coffee
Hot Green Tea
Hot Tea
Water
Ginger Ale
Coke
Diet Coke
What is your evening beverage choice?
Select Choice
White Wine
Red Wine
Cold Beer
Regular Coffee
Decaf Coffee
Hot Green Tea
Hot Tea
Water
Ginger Ale
Coke
Diet Coke
Submit
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