First Name

Last Name

Phone *

Email *

Occupation

Preferred Appointment Time:

Please x below how you would describe your hair style:

Curly

Wavy

Straight

Frizzy

What’s your biggest frustration with your hair right now?

Are you new to the city of Memphis or are you looking for a new stylist?

Yes, I just moved here!

Yes, I need a stylist who gets my hair!

No, but I’m open to a better experience.

Other

What’s your biggest hair goal for the next 3 months?

How did you hear about us?