New Client Request

What is Your First and Last Name? *

Email Address *

What is Your Phone Number? *

Please Take 3 clear photos of your current hair in natural lighting and upload them

Front View *

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Back View *

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Side View *

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Upload 2 inspiration photos to give us an idea of what your end goal is

First Inspiration Photo *

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Second Inspiration Photo *

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When Was Your Last Color Appointment? *

Do you have a permanent color on your hair? *YesNo

Have you ever had box color or colored your hair at home? *YesNo

Has your hair ever been colored black? *YesNo

Do you have grey hair? *YesNo

Are you interested in luxury hair extensions? *YesNo

Do you have any current scalp conditions? *YesNo

Do you have any medical conditions or take any medications that affect your hair? *YesNo

Please describe the past year of hair services you've had and what you're currently not liking about your hair that you would like to change *

What is your main expectation and goal for your hair appointment at Prim Salon? *

Are mornings or afternoons preferred for your complimentary phone consultation? *MorningsAfternoonsEither

How or from whom did you hear about Prim Salon? *

Would you prefer to be contacted by text or by a phone call? *Phone CallText

NEW CLIENT REQUEST