What's your first + last name? *

First Name

Last Name

Give us your digits: *

(###)

###

####

Are you 18 years old or older? *

We do not offer Sessions for kids or teens under age 18 at this time.

YES

NO

How did you hear about Bloom + Riot?

Select all that apply.

I found B+R on Google

Walked past the Salon!

B+R Official Website

B+R Facebook Page

@Bloom.and.Riot on IG

@TheColorFairy on IG

IBE Stylist Locator

Referred by a B+R Team Member

Referred by a B+R Client

Referred by a Friend or Family Member

Other

What brings you to Bloom + Riot? *

Select all that apply

CUSTOM EXTENSIONS

SPECIALTY COLOR

CURLY/COILY CUT

STRAIGHT/WAVY CUT

Other

Do you have ANY color on your current hair?

Select YES if your roots have ever been touched up, if you hair has ever been darkened, toned, glossed, glazed, or if you have any rainbow color/direct dyes on your hair

YES

NO

Has your current hair ever been box dyed, colored with products from Sally's Beauty Supply, colored with Henna, or colored at home?

YES

NO

Do you have any highlights/lightened pieces in your current hair?

Select YES if any part of your hair has ever been "bleached"

YES

NO

Do you have any "Wisdom Strands" or "Tinsel" that you would like to blend or cover?

BLEND

COVER

ROCKING IT PROUDLY

NO TINSEL YET!

Describe your hair for us *

SELECT ALL that apply

DRY

OILY

PIN STRAIGHT

WAVY

CURLY

COILY

SHORT

MID LENGTH

LONG

SUUUPER MERMAID LONG

IN NEED OF TLC {damaged/has breakage}

FAIRLY HEALTHY

SUPER HEALTHY

THIN

MEDIUM THICKNESS

THICK

COARSE

FINE

2A

2B

2C

3A

3B

3C

4A

4B

4C

CHEMICALLY LIGHTENED {bleached}

COLOR TREATED

CHEMICALLY RELAXED

CHEMICALLY PERMED

Do you have any scalp or skin conditions that would impact your Session with us?

YES

NO

Do you have any medical conditions that affect your hair, or do you take any medications that affect your hair?

YES

NO

In the past 12 months, have you gotten your hair chemically permed or straightened?

Select all that apply.

Chemical Perm ~ Wavy

Chemical Perm ~ Curly

Chemical Relaxer

Keratin Straightening

Brazilian Blowout

If needed, what time of day works best for your Complimentary Consult Call?

Mornings work for me

Evenings are perfect

Afternoons are best

All of the above, I'm flexible

Would you like your Session with us to be more Extroverted, or more Introverted?

We will do what we can to match your vibe in the chair!

Want allll the tea, love to chat :-)

Down to chat & enjoy quiet too :-)

Love "me" time, not super chatty :-)

Would love a Silent Session. After the initial Consult, no small talk necessary :-)

Last question and you're all done! Are you allergic to dogs?

The B+R Team bring their pups to the Salon from time to time, so if a Session with our fur babies will cause you any stress {emotional or physical/medical}, tell us here!

I AM allergic/uncomfortable around dogs

I am NOT allergic/uncomfortable around dogs

What's your first + last name? *

First Name

Last Name

Give us your digits: *

(###)

###

####

Which texture Cut are you requesting? *

CURLY/COILY CUT

STRAIGHT/WAVY CUT

Are you 18 years old or older? *

We do not offer Sessions for kids or teens under 18 at this time.

YES

NO