Crown Worthy Booking Form

Crown Worthy Digital Consultation Form

Welcome to Crown Worthy with Sophia. I can’t wait to meet you soon. If I have any questions, I will be in touch within 24 hours of your scheduled appointment.
What is your full name?*

First NameLast Name
What is your email address? *
Please note, I will be reaching out by email to confirm your appointment
Phone Number*
Please note, I will respond by text to confirm your appointment
How did you hear about us?*
What is the name of the client who referred you to my business?
What is your budget for this requested appointment?*
Hair services start at $130 and up, and consultations start at $125.
When is the last time you had your hair cut or trimmed professionally?*

Less than 4 weeks ago1-2 months ago2-4 months ago4-6 months ago6 months+
Do you currently have extensions installed in your hair? Please note extensions and braids have to be removed before hair services and consultations.*

YesNo
Scalp Specific Questions
How would you describe your hair density?*

Very thin/actively thinningThinMedium/averageThick
Are you experiencing hair loss?*

YesNoDoes not apply.
Where is the hair loss located?*

Edges.Front or temples of the scalp.Crown of the scalp.Back of the head.Does not apply.
Do you have dandruff?*

YesNo
What are you goals with your hair?*

I'd like my hair to be as long as possible.I'd like to retain length.I'd like to reduce dandruff and itchy scalp.I'm looking to find out how to get my hair and scalp healthier for optimal hair growth.My hair is thin and increasing density is a primary concern.
What days/times are you available? I will make every effort to get you in as soon as possible in line with the information you enter here. The more available you are, the faster I will be able to get you in.

Weekdays 10am-4pmWeeknights 4pm-5pmWeekends 7am-12pmWeekends 12pm-3pmI will make anything work, I just need to get in ASAP
Is there anything else we should know before booking your appointment?*
Please upload 2-3 photos of the affected area. Take the photos to the best of your ability.*

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Crown Worthy Digital Consultation Form

Scalp Specific Questions