ONLINE CONSULTATION FORM | elements

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Online Consultation Form

Simply complete the form below and one of Elements team members will be in contact with you shortly.

Have you visited Elements Hair and Beauty before?

Yes

No

Have you had a skin test at Elements Hair and Beauty before?

Yes

No

Do you suffer from a sensitive scalp/skin irritation?

Yes

No

When are you looking to book in? Are you looking for an appointment as soon as possible or planning ahead for a special occasion?

I would like to book in for

Colour

Cut

Colour Change

Restyle

Hair Extensions

Keratin Treatment

Styling for a Special Occassion

Other

If other please specify

My hair is currently:

Never been coloured/Natural hair

Dark hair, previously coloured

Dark hair with lighter pieces

Dark blonde

Blonde with balayage or highlights

Red head

Vivid shades (pink, plum, red, blue)

Other

If other please specify

Colour I would like to achieve, tick the boxes that apply

I'm not looking to colour my hair

Blended better

Lighter

Darker

Cover greys

Brighter

Look more natural

Other

If other please specify

Cut I would like to achieve

I'm not looking to cut my hair

Go shorter

Add more shape

Have a maintenance to keep it healthy

I like my hair as it is

Remove weight

Change my look

I'm growing it

Enhance my curls

Other

If other please specify

Extenions

I'm not looking for extensions

Add thickness

Add length

Add thickness and length

Make hair super long and thick

Add colour with extensions

Interested in tapes

Interested in nanos

Interested in weave

I'm not sure what I want/need

I struggle most with

Please upload a picture of how you are wanting your hair to look along with a picture of your hair currently. This will give us a visual idea of what you would like to achieve!

Upload Inspo Picture

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Upload a Picture of Your Hair

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Have you been recomended to the salon?

If you have been recommended to the salon please let us know by who so we can send them a thank you.

If you have been recommended to a specific stylist please let us know

Anything else you would like us to know?

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Portishead Salon

311 Newfoundland Way
Portishead
North Somerset
BS20 7QN

(Use BS20 7FP for sat nav)

elements-hair-and-beauty@outlook.com

01275 846636

Portishead Salon

01275 846636

Opening Hours

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

09:00 - 17:00 (Alternate)

10:00 - 20:00

10:00 - 20:00

10:00 - 20:00

09:00 - 18:00

08:00 - 16:00

Closed

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