First Name
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Last Name
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Email
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Phone
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Date of birth
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Instagram Username
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How did you discover us?
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Hair Goals
What service are you looking to book?
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Color Service
Hair Cutting Service
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Please upload photos of your goal hair
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Home Hair Care &
Hair History
Where do you purchase your home hair care?
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Please fill me in on your hair history for the last 5 years
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What supplements or medications are you currently taking?
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