New Client Pre Consultation Form
Welcome Prospective Client. Please complete the form to begin your natural hair freedom journey! We look forward to managing your natural hair journey.
First Name
Last Name
Email
Phone Number
Address
Which service location are you interested in?
Columbus, OH. - 2511 McCutcheon Rd., Columbus, OH 43219
Houston, TX - 2523 Piddler Dr., Spring TX, 77373
How far is your drive from the desired service location? From work? From Home?
What is the color, make and model of your vehicle?
Transportation Type
Self Drive
Private drop off
Ride Share
Public Transportation
Have you Downloaded the Wix/Spaces app and joined Personal Affects
Yes
No
Are you currently a PersonalAffects.net site member?
Yes
No
Have you downloaded the FREE Personal Affects Welcome Kit ! https://www.personalaffects.net/product-page/welcome-to-personal-affects-1
Yes
No
Have you downloaded the LOXX Hairstyle Ebook Check out my product! https://www.personalaffects.net/product-page/personal-affects-e-book
Yes
No
Do you currently have two (2) or more inches of natural hair?
Yes
NO
Not sure
Please share photos of your CURRENT natural hair (front)
Select a File
Please share photos of your CURRENT natural hair (back)
Select a File
Please share examples of your desired look!
Select a File
When is your desired start date?
When is your desired start date? (Second Option)
What Service are you interested in (see website for more information)
ROXXLOXX™
Sisterlocks®
Big Chop
CHI® American Smoothing Treatment
Permanent hair color
Self Retightening Class
Other
What size LOXX do you want and/or like ?
Select an option
Small
Medium
Large
N/A
Are you interested in haircolor?
Yes
No
Maybe
Examples of desired color
Select a File
You will not be charged if you cancel at least 24 hours before your appointment start time. Otherwise, you will be charged 25% of the total service price for late cancellations and 50% for no call/no shows. If you are a client who has a recurring agr
*
Clear
Do you have any allergies ? Hair product ingredients cleaning ingredients etc.
Submit
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