Booking | Moxxy Studio

First and Last Name *

Phone number *

Email address *

DOB *

Preferred method of contact *

Phone
Email
Text

Have you had any chemical treatments(perm, color, relaxers, ect) recently? *

What is your current haircare routine? (shampoo, conditioner, treatments, ect.) *

Any previous salon experiences or hair concerns? *

Have you experienced any issues with your hair (e.g., breakage, scalp irritation)? *

What is your overall goal for your hair? ( color change, haircut, texture, ect) *

Describe your ideal look (including any details like shades, length, texture ,etc.). *

Inspiration Photo 1 *

Inspiration Photo 2 *

Inspiration Photo 3 *

Natural hair color *

Current hair length *

Do you have any gray or white hairs? If yes how much? *

Are you currently using any products that might affect you hair (e.g., heat styling tools, specific treatments)? *

Photo of your current hair in natural light 1 *

Photo of your current hair in natural light 2 *

Photo of your current hair in natural light 3 *

How much time do you want to spend daily on your hair? *

How often are you able to commit to salon visits? *

Do you use heat styling tools regularly? If yes, which ones? *

Are you willing to commit to product purchases or regular maintenance treatments? *

Treatments
Products

Do you have any allergies or sensitivities to products or ingredients? *

Do you have sensitive skin or scalp? *

What is your budget for this service? *

Do you have any concerns about the cost or time commitment of the services you're considering? *

Do you have any recent changes in health (e.g., pregnancy, medication) that could affect your hair? *

Do you have any additional requests or questions for us regarding your appointment or desired look? *

I agree to share my photos and information with the stylist for the purpose of consultation and service planning *

I agree

I understand that the stylist will assess my hair and provide recommendations based on the consultation. *

I understand

Preferred stylist? *

Soonest Available
Tanika

Any specific requests for the service (e.g., no heat styling, quiet appointment, ect.) *

How did you find us? If referred by whom? *

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New Client Consultation Form