Client Questionnaire Complete our online client questionnaire and request your hair service appointment today! Welcome to Vamp Salon's new client questionnaire. By providing some basic information to our stylists, we will initiate an evaluation of your specific hair service and product needs. Once you have completed and submitted this short survey, you will be directed to our online booking widget where you will be able to request your next hair service appointment. Our stylists will review your information and prepare to discuss your desires and options during your consultation.Thank you for taking the time to assists us in getting to know you!Sincerely,Vamp Salon LLC I agree to share my information with Vamp Salon LLC. Vamp Salon will never sell or share your information with any other organizations. Vamp Salon will exclusively use your information to offer you services & products provided directly by Vamp Salon LLC.*I agree to share my informationPlease review our Privacy Policy & Terms of Use:GDPR - Privacy PolicyTerms and Conditions Full Name*FirstLast Email* Phone* Date of Birth*01020304050607080910111213141516171819202122232425262728293031day / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecembermonth / 201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900year Age Range:*<1718-2526-3031-3536-4041-4546-5051-5556-65>65 Persons under 18 years of age require permission from a parent or guardian to complete the new customer questionnaire. The parent or guardian indicated below gives consent to Vamp Salon LLC to collect the information of their son or daughter. *FirstLast Parent / Gurdian Email* Parent / Gurdian Phone* How did you hear about Vamp Salon?*Select valueGoogle AdFacebook AdInstagram AdOnline SearchWalked By SalonReferred by Existing Client If refered, who refered you? Select a Stylist (Refered to):*Select valuePick a stylist for meErika CrestonKatie MillerMayra Garcia-VegaKim LazarBritany BerumenWhy do we ask "how you heard about Vamp Salon LLC."Vamp Salon is committed to providing the absolute best service to the best possible customers in the market. The information collected in this form is used to optimize how we advertise Vamp Salon so that we can continue to add high quality and professional clients to our client list. We sincerely appreciate the information and feedback you can provide. We promise to use this information to further grow our salon and to continue to provide you with the highest level of service. I have received the following services in the last five years:*Relaxer / PermFull ColorHighlights LowlightsExtreme LightingBox Dye (Applied at Home)None of the above I have experienced the following conditions:*BreakageDry ScalpSensitive ScalpOily ScalpItchy ScalpAllergic ReactionNone of the above Base Hair Color:*Light BlondeMedium BlondeDark BlondeLight BrunetteMedium BrunetteDark BrunetteBlack Hair Texture*Extra Fine HairFine HairMedium Coarse HairCoarse HairExtra Coarse Hair Hair Volume:*Extra Thin HairThin HairMedium Thin HairMedium Thick HairThick HairExtra Thick Hair Hair Condition:*Extra Dry HairDry HairNormal HairLightly Oily HairOily HairExtra Oily Hair Hair Length:*Ear Length HairChin Length HairNeck Length HairShoulder Length HairCollar Bone Length HairArm Pit Length HairBra Strap Length HairMid Back Length HairWaist Length HairHip Length Hair & Longer Rate your the health of your hair:*1 = Breaks off Constantly 2345 = Slightly Damaged from Processing678910 = Extreamly Healthy Please describe your desired hairstyle and color with as much detail as possible. * Upload a hair selfie: Upload an inspirational photo: Currently taking medication?*YesNo Does the medication make your scalp sensitive?*YesNoNot SureIf you are unsure if the medication makes your scalp or skin sensitive to hair products, please consult your doctor before making an appointment for hair services!Be sure to discuss your medications and the effect it may have regarding your skin sensitivity with your stylist. Hair coloring products may aggravate your skin and cause irritations which should be avoided. Vamp Salon insists you have an allergy test performed before you proceed with your hair service appointment. Please share any medical conditions you feel we should be aware of to help make your hair service appointment exceptional. If no conditions, write "None"* I consent collecting this data and processing it according to GDPR Privacy Policy of this website.SubmitReset