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STEP 1: CONSULTATION FORM w/ PHOTOS FOR NEW GUESTS

Thank you for taking the time to fill out our form

Thank you, we have received your Pre-Consultation Form. If we have any further questions, we will contact you at the time you specified.

We look forward to meeting or getting re-acquainted with your hair.

The Tousled Team!

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REQUIRED FOR NEW GUESTS AND RETURNING GUESTS WHO HAVE NOT BEEN SERVICED WITHIN A YEAR.

Photos must be attached in order to receive a follow-up call. Thank you!

First Name

Last Name

Email

Phone

How did you here about Tousled Hair Salon?

[Check only one (1)]

Friend/ Family/ Co-worker / Neighbor
Internet Search
Social Media
Walked-by/ Drove-by
Hair Blog
Online Magazine
Other

When Is The Best Time of Day To Reach You?

Select All That Apply

Select

Do you have a preferred stylist

(Check All That May Apply)

Yes, I prefer the Senior Stylist (Rita)
Yes, I prefer the Junior Stylist (Zarayah)
No, I am okay with anyone available

Which Service Are You Interested in Receiving?

(Check All That May Apply)

Cut
Color
Hair & Scalp Conditioning Treatments
Hair Loss and Thinning
Keratin
Style Only

When Was Your Last Hair Cut?

Check One

1-2 weeks ago
1-2 months ago
2-6 months ago
6 months to a year ago
Its been a few years

Who Cut Your Hair Last?

Check One

Me
Family/Friend/Student (non-professional)
Hair Stylist (professional)

Who Colored Your Hair During Your Last Service?

Check One

Me
Family/Friend/Student (non-professional)
Hair Stylist/ Colorist (professional)

Which Type of Hair Color was Used During Your Last Color Service?

Check All That Apply

Permanent
Demi-Permanent
Semi-Permanent
Bleach
Double-Lift Color
Henna
Rinse
I'm unsure
Vibrant/ Neon/ Pastel Paints
Non-applicable

When Was Your Last Hair Color Service? *(See IMPORTANT NOTE below)

Check One

1-2 weeks ago
1-2 months ago
2-6 months ago
6 months to a year ago
Its been a few years
My hair is Virgin and has not been previously color-treated

Please Name which Hair Color Brand was used during your last color service

With My Hair Color Service I wish to go:

Check all that apply:

Lighter with my overall hair color
Darker with my overall hair color
Match my natural hair color
A few lighter face framing pieces
Dimensional Hair Color
Cover my gray hair completely
Blend my gray hair (seeing fewer gray hairs, but a few will be noticeable)
I'm unsure and need professional assistance on making this decision

Do You Currently have a fresh or grown-out hair smoother, straightener, relaxer, keratin, reformer or texturizer in your hair?

Check One:

Yes
No
Something in my hair causes me to have uneven texture and I am not sure what it is.

When Was Your Last Hair Chemical Smoother/Straightener or Curl Reformer Service Performed?

Check One:

1-2 weeks ago
1-2 months ago
2-4 months ago
4-6 months ago
6 months to a year ago
Its been a few years

Which hair smoother/straightener or curl reformer was Used During My Last Chemical Service?

Select One

Select

Do You Currently Have Extensions/ Weave or a Wig Install in Your Hair? If so, how long have you had your hair in?

(Check All That May Apply)

A few weeks
A few months
I just removed them
I have not yet removed them

How Often Do You Deep Condition Your Hair At Home Or At a Salon?

Select One

Select

Please best describe the strength of your hair.

Check One

Strong with minimal daily shedding
Somewhat strong could use some improvement
Weak with alot of daily shedding
I am unsure and need a professional to advise me

[HAIR/LOSS THINNING] Are you currently under a Dermatologists care for your hair concerns?

Check One:

Yes
No

[HAiR LOSS/THINNING] How Often Do You Comb or Brush Your Hair In a Week's Time?

Select

[HAIR LOSS/THINNING] Please list any topical treatments you are currently using to address your Hair Loss/Thinning:

Check One:

Volumizing Hair Products (that may include shampoo, condition, serums, topical treatments)
Thinning Hair Products (that may include shampoo, condition, serums, topical treatments)
Minoxidil, Nioxin, Nutrafol, Harklinikken
I am not currently using any treatments

[HAIR /LOSS THINNING] I am currently:

[Please check one of the following]:

Pregnant and taking Pre-Natal Vitamins
I just had a baby and I am breast feeding and taking post natal vitamins
Its been over 1-2 years since giving birth
None of the Above

Upload Photo (1) of Your Hair In Its Current State. [Front Profile Photo].

Browse(no files uploaded)

Upload Photo (2) of Your Hair In Its Current State. [Top of Head Photo}

Browse(no files uploaded)

Upload Photo (3) of Your Hair In Its Current State. [Side Profile Photo]

Browse(no files uploaded)

Upload Photo (1) of Your Desired Cut and Style

Browse(no files uploaded)

Upload Photo with your hair damp (not dried, blown-out or flat ironed)

Browse(no files uploaded)

* IMPORTANT NOTE: Please note, if you are considering a hair color service, we may also need to schedule an in-salon Hair Color Consultation in order to do a porosity and/or elasticity strand test prior to your hair color service to ensure the health of your hair. The photos you submit are never shared or posted. We delete all photos after your service is performed or if no service is performed.

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Thank you for taking the time to fill out our form

Thank you, we have received your Pre-Consultation Form. If we have any further questions, we will contact you at the time you specified.

We look forward to meeting or getting re-acquainted with your hair.

The Tousled Team!

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HOLIDAY SEASON HOURS [Check weekly]

NOTE: We are open Alternating Sundays & Tuesdays _____________________ Tue, Dec 9th 11:00a.m. - 2:00p.m. Wed, Dec 10th: 1:00p.m. - 7:00p.m. Thu, Dec 10th: 11:00a.m. - 7:00p.m. Fri, Dec 11th: 11:00a.m.-7:00p.m. Sat, Dec 12th: 10:00a.m. - 4:00p.m. Sun:, Dec 13th: 11:00a.m. - 5:00p.m. Mon, Dec 15th: CLOSED Tue, Dec 16th: CLOSED

POP-IN & SAY 'HI'

500-A Jersey Avenue Jersey City, NJ 07302 (between Mercer and Wayne Street)

EMAIL:

clientconcierge@mytousledhair.com

CALL / TEXT

Call 201.309.1200 Text 201.817.5201

'Here In Service To Help You Find Solutions For Your Texture'... xo, The Tousled Team

Crafted by PhotoBiz

JERSEY CITY, NJ

JERSEY CITY, NJ

JERSEY CITY, NJ

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