EmailMe Form - ECS FIRST VISITS RELAX/TEXT STYLING CONSULT FORM

PERSONAL INFORMATION

What is your full name? *

First Last

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email *

Confirm

Phone *

### - ### - ####

Confirm

### - ### - ####

What is the age of the person receiving the First Visit Relaxed Hair services? *

If under 21, list age and month/date of birth * *

Type N/A if not applicable

What is your occupation? *

Ex. Student, Retired, Nurse, etc.

How did you find our salon? *

Visiting Client: List your current City and State of residence. *

Type N/A if this does not apply to you!

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 RETURNING CLIENT)

Did someone refer you to ECS? If yes...whom may we thank for the referral? *

I am scheduling a Relaxed Hair Styling service for: *

Name of the person Receiving services * *

First Last

Gender of the person receiving services * *

Male

Female

Non-Binary

HAIR TEXTURE - TYPES- DIFFERENCES

What is your Ethnicity? *

African American

Asian

Bi-Racial

Caucasian

Hispanic

Indian

Other, please list

IMPORTANT:
Understanding a client's ethnicity helps us assess the texture and density of their hair, allowing us to allocate the appropriate amount of time needed to complete your hair service.

RELAXED/TEXTURIZED HAIR CHALLENGES & CURRENT CONDITION

Is your hair Relaxed or Texturized? *

My Hair is *

Which best describes your current Relaxed/Texturized hair? *

CURRENT SCALP HEALTH

Please mark any of the following conditions you are currently experiencing in your scalp: *

Are you currently seeing a dermatologist for any scalp conditions or using any medicated shampoos or treatments? *

Yes

No

If yes, please list the prescribed medicated shampoos and/or treatments you will need during your hair services. *

If you are using prescribed shampoos or treatments, please email us the details about the application or the products before your appointment.

RELAXED/TEXTURIZED CURRENT HOME REGIMINE

Do you shampoo at home between salon visits? *

Yes

No

PLEASE SELECT THE BEST RESPONSE

How often do you shampoo your hair, when was your last shampoo, and what brand did you use? *

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 deep conditioning treatments and when was your last deep conditioning treatment? List the brand you used. *

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 strengthen your Relaxed/Texturized hair and when was your last strengthening treatment? List the brand you used. *

Please give the dates of last service, and/or how often these services are worn or performed.
Type N/A if not applicable.

Please list the names of the relaxed/texturized hair styling products you currently use at home, along with the brand and their intended purpose. *

Type N/A if not applicable.

How often do you trim your hair? And when was your last trim/cut? *

Please give the dates of last service, and/or how often these services are worn or performed.
Type N/A if not applicable.

Do you have your hair trimmed or cut by a licensed cosmetologist, or do you prefer to do it yourself? Please explain. *

How do you usually have your hair styled? *

How much time do you devote to your hair styling at home? *

RELAXED/TEXTURIZED HAIR HISTORY

When was your last relaxer/texturizer retouch service? *

How often do you currently visit the salon for service? *

Were you satisfied with that service? If not, why not? *

If no chemicals were used type N/A

Do you have multiple hair stylist to service your haircare needs? Example: Braider, Extension Specialist, Trichologist, etc. *

Type N/A IF NOT APPLICABLE

REQUESTED RELAXED OR TEXTURIZED STYLING SERVICE(S)

What is your desired style on the day you receive your First Visit Relaxed Hair service? *

FV STANDARD SILK BLOWUT

FV DELUXE SILK BLOWUT

FV PREMIUM SILK BLOWOUT

FV LUXURY SILK BLOWOUT THERAPY TREATMENT

RELAXED/TEXTURIZED HAIR CHALLENGES

How often can you realisticaly visit the salon for in-salon treatments between Relaxer Retouches/ *

HEALTH HISTORY

Are you or do you think you might be pregnant? *

Yes

No

If yes, what trimester are you in?

Have you gone through menopause or could be pre-menopausal? *

Yes

No

Other, please list

Have you had any surgery that required general anesthesia in the past year? *

Yes

No

If yes, please list

Do you take any prescribed medications? *

Yes

No

If yes, please list

Please list any known allergies

RELAXED HAIR MAINTENANCE ROUTINE

How often do you heat style your hair? *

Example: Daily | Every Other Day | 3x a week | 2x a week or less

RELAXED HAIRSTYING GOALS

How often can you realistically visit the salon for maintenance?? *

CURRENT HAIR LENGTH

My natural hair length is: *

HAIR DENSITY

SELECT THE CORRECT HAIR DENSITY. Measure you own air Density - Read Below! *

DAMAGED HAIR NOTICE

If you are suffering from major breakage or damage, we recommend one of 3 Options.

1.SILK BLOWOUT LUXURY PACKAGE
2. SILK BLOWOUT THE WORKS PACKAGE
3. SILK BLOWOUT RECURRING VISITS PKG

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!

Upload a photo of your current hairstyle *

Files: pdf, doc, docx, xls, xlsx, jpg

FRONT VIEW | Upload a RECENT photo of your hair? *

Files: pdf, doc, docx, xls, xlsx, jpg

PLEASE STAND AGAINST A CLEAR WALL WHITE OR LIGHT BACKGROUND

NO PONYTAILS, UPDO STYLES, BRAIDS, WEAVE ETC. - We need to clearly see your hair

BACK VIEW| Upload a RECENT photo of your hair? We need to clearly see your hair *

Files: pdf, doc, docx, xls, xlsx, jpg

PLEASE STAND AGAINST A CLEAR WALL WHITE OR LIGHT BACKGROUND

NO PONYTAILS, UPDO STYLES, BRAIDS, WEAVE ETC. - We need to clearly see your hair

RIGHT SIDE VIEW | Upload a RECENT photo of your hair? We need to clearly see your hair *

Files: pdf, doc, docx, xls, xlsx, jpg

PLEASE STAND AGAINST A CLEAR WALL WHITE OR LIGHT BACKGROUND

NO PONYTAILS, UPDO STYLES, BRAIDS, WEAVE ETC. - We need to clearly see your hair

LEFT SIDE VIEW | Upload a RECENT photo of your hair? We need to clearly see your hair *

Files: pdf, doc, docx, xls, xlsx, jpg

PLEASE STAND AGAINST A CLEAR WALL WHITE OR LIGHT BACKGROUND

NO PONYTAILS, UPDO STYLES, BRAIDS, WEAVE ETC. - We need to clearly see your hair

INSPIRED STYLE | Please upload a photo of your desired finished style. *

Files: pdf, doc, docx, xls, xlsx, jpg

RELAXED/TEXTURIZED STYLING APPOINTMENT AVAILABILITY

How Soon would you like your Relaxer service? *

Which day(s) work best for your Relaxed/Texturized STyle appointment to occur? *

PLEASE WRITE OUT THE BEST DAYS IN AVAILABILITY ORDER

What time of day works best with your schedule? *

OTHER APPOINTMENT PREFERENCES *

LIST DETAILS IN COMMENT BOX - BE SPECIFIC
- Requests or restrictions:
- Any other information that may be helpful in booking your appointment.

RELAXED/TEXTURIZED STYLE SERVICE PAYMENT OPTIONS

Payment Policy for First Visit Relaxed/Textured Style Reservations

Please note that we require full payment or a payment plan to secure your First Visit Relaxed/Textured Style reservation. All payments are non-refundable and non-transferable.

Payment Options:
We offer multiple payment options for your First Visit Relaxed/Textured Style service, including flexible payment plans. Here are the available options:

Full Payment: Pay the entire service fee upfront during booking.

Payment Plans: Choose a flexible payment plan that allows you to pay for your service in installments.

For further assistance with payment options or to set up a payment plan, please feel free to contact us. We’re here to help make your experience as smooth as possible!

Select which payment option works best for you. *

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

Pay $75 First Visit Relaxed/Texturized Style Deposit - All Balance due upon arrival

Payment Information for Your Appointment

To make your payment via Zelle, please use the email address: mscece@endlesscreationssalon.com.

Important Notes:
Be sure to register for a payment plan at least 3 business days before your scheduled appointment date to secure your appointment slot.

For assistance with bookings or to request a custom payment link, please text our Client Service Coordinator, Jay, at 480-485-4413.

Thank you for choosing Endless Creations Salon! We look forward to serving you!

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 *

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 *

Initial Here

After reviewing your First Visit Relaxed/Textured Style consultation and the photos, we will send you a quote/estimate via email. This way, we can address any questions or concerns you may have in a more personal manner. Thank you for your patience, and we look forward to helping you achieve your hair goals!

Signature *

Clear

Date Time

MM / DD / YYYY