Experience Customization Form

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What is your Name?* This field is required.
First Name
Last Name
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Is this your first visit with me or are you a returning guest?* This field is required.
New Guest
Returning Guest
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Thanks for choosing me as your stylist, I am in room #36 inside Salons by JC:

2650 Pearland Parkway, Suite 196

Pearland, TX 77581

Please arive at the time of your appointment, we will start your visit with a full consultation where we'll discuss not just your goals for today but your goals long term.

I can't wait to meet you!

Karen
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What vibe would you prefer for our appointment today?
Fun & Chatty
Quiet & Relaxing
I have work to do (phone or laptop charger available)
Escape in my book/phone
Silent
No preference
5
Are you running low on any products or have any hair or scalp concerns?* This field is required.
YESNO
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What hair products are you curious about or need to replenish?
Huge
Large
Normal
Small
Ok
Ok
7
What struggles are you currently experiencing with your hair?(Optional)
Unusual hair loss
Hair feels dry/dull/brittle
Dry/itchy/flaky scalp
Oily scalp
Breakage
Flat, limp hair
Trouble styling
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Would you like to choose your complimentary amenities and service upgrades?* This field is required.Select your free refreshments, included service enhancements, and learn about treatment upgrades.
Yes, please!
No thanks.
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What kind of music do you want to listen to today?
Easy Listening
Today’s Hits
Today’s Country
Classic Rock Radio
Coffee House Covers
Hotel Costes
70’s Lite Rock
80’s Radio
90’s Radio
Christian Contemporary
Frank Sinatra Radio
Pop Road Trip
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What would you like to drink?* This field is required.Choose flavor on next slide
Water
La Croix Sparkling Water
Coffee
Sweet and Salty Caramel Cappuccino
French Vanilla Cappuccino
White Chocolate Caramel Cappuccino
Hot Tea
Coke
Coke Zero
Diet Coke
Poppi Sparkling Prebiotic Soda
Red Wine (21+)
White Wine / Champagne (21+)
Bud Light
Nothing for now
I don't know, I'll decide when I get there
Other
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Poppi sparkling soda flavor?
Strawberry Lemon
Orange
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White wine preference?
Pinot Grigio
Prosecco Champagne
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Red wine preference?
Merlot
Sweet Red
Cabernet Sauvignon
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Sparkling water flavor?* This field is required.
Pamplemousse
Lime
Pasteque
Hi-Biscus
Lemon Cello
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How do you like your coffee?
Regular Creamer
Vanilla Creamer
Sugar
Sweet and low
Equal
Splenda
Stevia
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How do you like your tea?
Positive Energy (Sweet Tangerine)
Spiced Chai (DeCaf)
Lemon & Ginger
Moringa with spearmint & sage
Ginger
Organic Throat Coat
Dandelion Chai Probiotic
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Would you like a snack?Feel free to take this with you!
Quaker Chewy Chocolate Chip Granola Bar
Peanut Butter Pretzels
Elevation Fruit and Nut Bar
Munchies Peanut Butter Crackers
Archers Mini Beef Stick
Siete Tortillas
Lindt Milk Chocolates
Mints (Just help yourself )
No, thank you
Other
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Which Essential Oils would you like for your experience today?(Complementary)
Artic Blast - Soothing Blend (Orange, Lemongrass, Peppermint, Wintergreen)
Crisp Winter Woods - Balancing Blend (Myrrh, Cedarwood, Patchouli, Lemongrass)
Armor - Protective Blend (Cinnamon, Clove, Eucalyptus, Lemon, Rosemary)
Drive - Motivating Blend (Orange, Peppermint, Lemongrass , Rosemary)
No preference
None
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Which of the following would you like to experience today?Complimentary so treat yourself!
I want the full experience (relaxing scalp massage, warm towel, & essential oils diffused)
No scalp massage
No warm towel
No essential oils
20
What else would you like to have done today if time allows?Click all that apply
Extra long scalp massage $10
Relax with Olaplex 4 & 1 moisture mask (for dry hair, gives body and shine) +15
Wellness with Malibu C Treatment (scalp therapy, hard water, blondes, extension rehab, or color prep) +20
K-18 Treatment (repairs, moisturizes, smooths, adds body & shine with take home sample included) +35
Olaplex Standalone Treatment (Restores damaged and compromised hair from the inside out) $40
Eyebrow wax $15
Chin Wax $12
Lip Wax $10
Nothing today, thank you.
Other
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Would you prefer masks be worn during your time in the suite?Mask are currently optional, but the option is available for all parties to mask during your appointment.
Yes, I prefer masks be worn
No, masking is not needed
No preference
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Do you have an inspiration photo for today?You can upload it below.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Model Consent FormI consent to "Before and After" photographs and videos. I give Karen Rivera (Rumors Inc) the right and unrestricted permission to take, use, and display images of me, through any form of media and other lawful purpose, without expectation of royalties or other compensations arising from use of images of me.
I agree to photos/video
I agree, but anonymously
No photos today
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Policies Overview

In order to continue providing the best possible scheduling options to my guests, I do require 48 hours notice should you need to cancel or reschedule your visit with me. Should you cancel your appointment with less than 48 hours notice, a $25 per service rescheduling fee will apply and be due before a new appointment is scheduled.

Please understand that if you are more than 10 minutes late for your appointment, you may be asked to reschedule completely, and incur a no-show fee of $25 per service, or have your services altered to ensure that your appointment does not exceed the amount of time scheduled.

*No children allowed in suite unless they have appointment due to hot tools, chemicals and space restraints.

*All pricing is subject to change.
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Service Adjustment and Product Exchange Policy

If you are having challenges with your cut or color, please contact me within 7 days of your visit in order to correct the issue at no additional charge.

If you're not satisfied with your purchased product, you may exchange at full credit within 14 days of your initial purchase.
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I have read and accepted the terms of all the salon policies.* This field is required.
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