Hair By Mickey Appointments

IMPORTANT - PLEASE READ!

Please complete this following questionnaire. This information will ensure that I'm aware of exactly what you are needing for your appointment

When you hit submit, you will be taken to another page and given the option to request an appointment online.

First Name
*
Last Name
*
Email Address
*
Phone Number
*
Type of Service Requested (Check all that apply) NOTE: Services include Consultation
*

Curly Specific Cut & Style
Feminine Short Cut (Pixie to Above Collar)
Feminine Cut Mid-Length (No longer than collar bone)
Feminine Long Cut (No longer than bra strap)
Feminine Cut VERY LONG (below bra strap)
Masculine Cut (Basic)
Masculine Cut (Stylish/Fashion)
Kiddo Hair Cut (age 5-9)
Express Hair Cut (See Website for details)
Root Color Touch Up (less than 1" Growout)
Express Root Color Touch Up (See website for details)
Partial Highlight (Foils or Balayage)
Full Highlight (Foils or Balayage)
Custom Color not shown here
Extension Consultation
Extension Service on Exsisting Extensions
Color or Cut Consultation
Shampoo Blowout Only
Hard Water Mineral Build Up Detox
How Long is your hair?
*

Pixie (at or above ear)
Short (at or above shoulder)
Mid (at or above collar bone)
Long (at or above bra strap area)
Very Long!
If you pull your hair back into a pony tail, how big is the pony at the point of the rubber band?
*
The size of a dime (Thin)
The size of a nickel (Average)
The size of a quarter (Thick)
The size of an Oreo Cookie (Very Thick)
BIGGER! (Oh, Lord!)
Describe your hair texture (check all that apply)
*

Fine / Straight
Fine / Wavy
Fine / Curly
Fine / Very Curly
Coarse / Straight
Coarse / Wavy
Coarse / Curly
Coarse / Very Curly
Beginning to thin out
10-25% Grey
50% Grey
More than 50% Grey
When was the last time you had your hair colored in any way?
*
Never
Over 2 years ago
Over 1 year ago
Over 6 months ago
Over 3 months ago
Within the last 6-8 weeks
Within the last 2-4 weeks
Within the last week.
If we are coloring your hair, please tell me what color it is now, and what color it is naturally - BOTH are important!
What days of the week work best for you for your hair appointment?
*
Tuesday
Wednesday
I start at noon and am happy to do evening appointments. What time of day do you prefer for your appointment
*
12pm-2pm
3pm-5pm
Evenings after 5pm
When are you wanting an appointment?
First Available
Within a Week
Within two Weeks
Within a Month
How did you hear of me?
*
Facebook
Instagram
TikTok
Google
A Friend
I've seen you before!
If you found me through a friend, let me know who it was so I can give them a big HUG!
Please tell me anything that you think I should know including any medications that may effect your hair (Examples: Hormone, Thyroid, Chemo)
Please tell me about any special concerns or needs you are having that I may be able to help with.

Remember, the next page will give you an OPTION to book online. If I don't see an appointment request come through, I will contact you to book an appointment for you!