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ECS FIRST VISITS TEXTURED STYLING CONSULT FORM
Hi there! This form is the first step to requesting a Textured Hair appointment at ECS and should take less than 7 minutes to complete.
This online consultation form helps to give us an idea about your specific hair goals and get you scheduled for the appropriate service(s).
For Textured Hair Types: Wavy-Kinky-Curly-Coily
For FIRST VISIT and EXISTING CLIENTS we HAVE NOT SEEN within 4+ MONTHS
If you are NEW or It has been 120 days or more since your last visit, you'll need to COMPLETE THIS FORM.
- Your request will be review within 24- 72 Business hours and we will send you a Text message and/or email upon completion of this form
Personal Information
We are excited to have the pleasure of serving you and we appreciate you taking the time to answer our Consultation questions before your Textured appointment with us.
What is your full name?
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First
Last
Address
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Please list your Mobile phone number
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Confirm
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Please list your Email address
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Confirm
What is the age of the person receiving the First Visit Textured Hair services?
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Under 18
Under 21
In my 20s
In my 30s
In my 40s
In my 50s
In my 60s
In my 70s
In my 80s
In my 90s and up
CLIENTS UNDER THE AGE OF 17 MUST COMPLETE THIS FORM AND ALSO COMPLETE OUR ONLINE PARENT CONSENT FORM.
BOTH FORMS MUST BE SUBMITTED PRIOR TO AN APPOINTMENT
If under 21, list age and month/date of birth *
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Type N/A if not applicable
What is your occupation?
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Ex. Student, Retired, Nurse, etc.
How did you find our salon?
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Google
Facebook
Instagram
Yelp
Referral
Other
Did someone refer you to ECS? If yes...whom may we thank for the referral?
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CURRENT CLIENT STATUS
Are you a...
FIRST VISIT (NEW CLIENT: 0 VISITS)
EXISTING CLIENT (LAST VISIT WITHIN 4 MONTHS)
RETURNING CLIENT (LAST VISIT BETWEEN (4-11 MONTHS)
RETURNING CLIENT (12 + MONTHS ago)
VISITING CLIENT (OUT OF TOWN NEW CLIENT)
VISITING CLIENT (OUT OF TOWN RETURNING CLIENT)
Visiting Client: List your current City and State of residence.
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Type N/A if this does not apply to you!
What is the age of the person receiving the Textured hair service?
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17 and younger
18-24
25 - 34
35-44
45-54
55-64
In my 60s
In my 70s
In my 80s and up
If under 18 or 21, list age and date of birth
I am scheduling a Textured service for:
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Myself
My child
My grandchild
My Foster child
My friend
Other, please list
What is the first and last name of the minor/child?
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Type N/A if this does not apply to you!
TEXTURED HAIR CHALLENGES
Are you natural ?
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Yes
No
If yes, how long have you been natural?
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Please mark any of the following conditions you are currently experiencing:
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Dryness
Brittleness
Shedding
Breakage
Dullness
Split Ends
Thinning
Hair Loss
Itchy Scalp
Dandruff
Dry Scalp
Seborrheic Dermatitis
Psoriasis/Eczema
Alopecia
Scalp Issues
Heat Damage
Transitioning Hair (From Relaxed to Natural)
Limp Curls
Hair needs shaping
My hair currently :
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has tangles
has breakage
has split ends
does not retain length
has excessive shedding
feels dry and brittle
has no shape
has knots and matting
Other
HAIR HISTORY
How often do you have deep conditioning treatments and when was your last deep conditioning treatment? List the brand you used.
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Please give the dates of last service, and/or how often these services are worn or performed.
Type N/A if not applicable.
How often do you have protein treatments and when was your last protein treatment? List the brand you used.
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Please give the dates of last service, and/or how often these services are worn or performed.
Type N/A if not applicable.
How often do you trim your hair? And, when was your last professional trim/cut visit?
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Please give the dates of last service, and/or how often these services are worn or performed.
Type N/A if not applicable.
About how often do you currently visit a hair salon:
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2 weeks
Every 3 weeks
Every 4 weeks
Every 2 months
Every 3-4 months
Once a year
Hardly ever
When was your last professional salon visit?
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Type N/A if not applicable
CHEMICAL HISTORY
When was your last relaxer?
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Please give the dates of last service, and/or how often these services are worn or performed.
Type N/A if not applicable.
When was your last permanent color?
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Please give the dates of last service, and/or how often these services are worn or performed.
Type N/A if not applicable.
When was your last demi/semi-permanent color?
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Please give the dates of last service, and/or how often these services are worn or performed.
Type N/A if not applicable.
When was your last Keratin treatment?
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Please give the dates of last service, and/or how often these services are worn or performed.
Type N/A if not applicable.
HAIR STYLE HISTORY
When was your last Braid Style/Method?
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Please give the dates of last service, and/or how often these services are worn or performed.
Type N/A if not applicable.
When was your last Extension Style/Method?
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Please give the dates of last service, and/or how often these services are worn or performed.
Type N/A if not applicable.
How often do you wear ponytails?
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Please give the dates of last service, and/or how often these services are worn or performed.
Type N/A if not applicable.
How often do you wear wigs?
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Please give the dates of last service, and/or how often these services are worn or performed.
Type N/A if not applicable.
How often do you wear hats/scarves?
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Please give the dates of last service, and/or how often these services are worn or performed.
Type N/A if not applicable.
Are you looking for effective ways to transition to your natural curls or improve the maintenance of your real hair?
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Yes
No
HEAT & YOUR HAIR
What tools do you use at home to style your hair? Select all that apply
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Blow-dryer
Flat Iron
Curling Iron
Round Brush
CURRENT HAIR GOALS & CONDITION
What is your ultimate goal for your Textured hair?
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Hair Care Knowledge
Length
Hair Health
Thicker Hair
Repaired Hair Strands
Moisture
Improved Scalp
Create a Healthy Hair Regimen
Protective Style
Product knowledge
Additional Hair Goals not listed
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Type N/A if not applicable
What products are you currently using to shampoo, condition and style your hair? List them all.
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How are you currently wearing your hair?
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When was your last blow out or flat iron? How often do you blow out or flat iron?
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Do you generally get...
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Professional Hair Care
DIY - Do-It-Yourself
Hairline: Is your hairline
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Healthy
Thinning
Bald
Is there any additional information you would like to share about yourself or your hair?
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Type N/A if not applicable
HEALTH HISTORY
Please list any medications, vitamins, supplements, etc.
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SALON HISTORY
Do you find it hard to trust hairstylist?
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Yes
No
If yes, will you share why you may find this hard
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HAIR LENGTH & DENSITY
LENGTH: How long is your hair when stretched?
If your hair is naturally curly, pull the curl all the way down to find your true length.
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PIXIE LENGTH ABOVE NAPE AREA
BETWEEN NAPE & MID NECK
CHIN LENGTH DOESNT TOUCH SHOULDERS
SHOULDER LENGTH
JUST BELOW SHOULDER LENGTH
TOUCHING SHOULDER BLADE
JUST BELOW SHOULDER BLADE
JUST ABOVE BRA STRAP
BRA STRAP LENGTH
JUST BELOW BRA STRAP LENTH
WAIST LENGTH
JUST BELOW WAIST LENGTH
WHAT LENGTH DOES YOUR HAIR NEED TO BE FOR A TEXTURED HAIR SERVICE?
Your hair should be at least 4 inches long to qualify for a Textured Hair service.
HOW TO MEASURE YOUR HAIR LENGTH
For an accurate measurement, use a flexible measuring tape. Start at your scalp and extend the tape along the length of your hair to determine its length in inches or centimeters.
SELECT THE CORRECT HAIR DENSITY. Measure you own air Density - Read Below!
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Circumference of 3 inches
Circumference of 4 inches
Circumference of 5 inches
Circumference of 6 inches
Circumference of 7 inches
Circumference of 8 inches
Circumference of 9 inches
Circumference of 10 inches
Circumference of 11 inches
Circumference of 12 inches
Circumference of 13 inches
Circumference of 14+ inches
FOLLOW THE INSTRUCTIONS BELOW FOR AN ACCURATE READING
- Place your hair into a ponytail using a ponytail holder (wrapping 2x's).
- Wrap a flexible tape measure around the base of your ponytail (this reveals your hairs' density).
HD - High Density Hair requires more time and product usage.
This helps us to QUOTE CORRECT pricing and allocate and anticipate the amount of time and product usage your GinaCurl service may be.
HOW TO MEASURE YOUR HAIR LENGTH
For an accurate measurement, use a flexible measuring tape. Start at your scalp and extend the tape along the length of your hair to determine its length in inches or centimeters.
FIRST VISIT TEXTURED MENU OPTIONS
FOR WAVY-CURLY-KINKY-COILY-TRANSITIONAL HAIR TYPES
Appointment can last anywhere from 3 to 4 hours depending on the client's current LENGTH, DENSITY and the current CONDITION (state) of the natural hair.
IMPORTANT: After your initial visit, you can choose other services from our menu. Our goal is to educate clients on maintaining healthy hair through a consistent regimen of conditioning, minimal heat, proper moisturizing, and using salon-grade products for optimal results.
Please select which First Visit Textured service you would like to schedule
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FV TWEEN STANDARD SILK PRESS - $90+
FV STANDARD SILK PRESS - $100+
FV PREMIUM SILK PRESS - $150+
FV DELUX E SILK PRESS - $155+
FV PIXIE SILK PRESS - $175+
FV "THE WORKS" SILK PRESS + OLAPLEX - $255+
FV LUXURY SILK PRESS THERAPY TREATMENT - $260+
FV WASH-N-GO SET
FV THE WORKS WASH-N-GO SET
FV THE ULTIMATE WASH-N-GO CURLY KERATIN
FV NATURAL CURL ROD SET
FV PROTECTIVE STYLE
For detailed descriptions of our First Visits Textured services, please visit the booking page on our website, scroll down, and select the First Visits Textured category to explore all available service options. Don’t forget to check this category regularly, as services are frequently added and updated!
How often can you realistically visit the salon for maintenance?
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Weekly (Once a Week)
Bi- Weekly (Every 2 Weeks)
Tri-Weekly (Every 3 Weeks)
4 Weeks
6 Weeks
8 Weeks
3 Months
6 Months
SUBMIT CURRENT PHOTOS:
***IMPORTANT***
Instructions for Uploading Your Current Photos
1. Use your cell phone, as professional camera images may be too large to upload.
2. For best results, ask someone to take the photos for you.
3. Take the photos indoors in natural lighting (avoid flashes and direct sunlight).
4. Submit recent photos that clearly show your true hair length and texture.
Uploading accurate photos helps us assess your hair's current condition and provide an accurate estimate for pricing and service time.
***IMPORTANT***
Please refrain from submitting photos of your hair in braids, ponytails, wigs, or similar styles. We need to see your natural hair length, density, and condition for evaluation. Any photos that do not clearly showcase these will not receive a quote or estimate, wasting both your time and the stylist's. Thank you for your understanding!
Please attach 4 recent photos of your hair in its natural state (not straightened, no braids, twist, extensions, etc.) Include front view, right and left side views and back view.
FRONT VIEW
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Add File
INACCURATE PICTURES OF YOUR HAIR MAY INCUR ADDITIONAL CHARGES AT THE TIME OF SERVICE.
LEFT SIDE VIEW
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Add File
RIGHT SIDE VIEW
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Add File
BACK VIEW
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Add File
DESIRED Look Please upload a photo of your inspired Textured style/look.(1st choice)
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Add File
DESIRED Look Please upload a photo of your inspired Textured style/look. (2nd choice)
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Add File
DESIRED Look Please upload a photo of your inspired Textured style/look. (3rd choice)
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Add File
YOUR AVAILABILITY
Which day of the week works best with your schedule?
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Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What time of the day works best with your schedule?
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Early Mornings (8-10 AM)
Mornings (10-11 (AM)
Early Afternoons (1130 -130PM)
Late Afternoon (2 - 3PM)
Early Evening (330 - 430PM)
Evening (5-6pm)
Late Evening (630 - 7PM)
Please list any other scheduling or availability concerns you may have here
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TEXTURED STYLE PAYMENT OPTIONS
Please note that we do require Full Payment or a payment plan to secure First Visit Textured reservations that are non-refundable and non-transferrable.
We offer multiple payment options for the cost of your First Visit Texture - Flexible Payment Plans Available options listed below
Select which payment option works best for you.
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Pay In Full now via Zelle
PaySimple – Pay Full Amount
Payment Plan via AfterPay – Split service(s) into 4 interest-free installments
Payment Plan via Sezzle Pay - Split service into 4 installments.
CherryPay – Apply for a specific dollar amount
CANCELLATIONS & RESCHEDULING
CANCELLATION POLICY:
To avoid cancellation fees, please give us 48 hours' notice. If you cancel less than 48 hours in advance, you will incur a 50% charge of the service. If you cancel less than 24 hours or do not show up, you will be charged 100%.
I Agree to the Cancellation Policy*
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INITIAL HERE
RESCHEDULING
Once a reservation is confirmed, we allow (1) courtesy date modification within 7 days of initial booking. Any further date modifications will result in the cancellation of the appointment and the client will forfeit the deposit. NO EXCEPTIONS
I Agree to the Cancellation Policy*
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INITIAL HERE
After reviewing your First Visit Textured consultation and the photos we will send you a quote VIA EMAIL and we will be able to answer your questions and/or concerns on a more personal level.
Date Time
MM
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DD
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YYYY
Signature
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Clear
BOOKING INSTRUCTIONS WILL BE EMAILED 3-4 BUSINESS DAYS AFTER THIS FORM HAS BEEN SUBMITTED.