Minimal capture

Three fields and two clear permissions.

A long clinical intake at a busy booth would crush completion.

9:41LTE

Stay Connected

Share your contact information and we'll send a short Hair + Scalp Interest Form.

Demo only-do not enter real personal, medical, or health information. Use the fictional demo information provided.

Full name

Mobile number

Email address

I agree to receive recurring automated marketing text messages from Whole Root Hair + Scalp Studio at the number provided. Consent is not a condition of purchase. Message frequency varies; message and data rates may apply. Reply STOP to opt out and HELP for help.

Email me information about services, education, and upcoming events from Whole Root Hair + Scalp Studio. I can unsubscribe at any time.

By submitting, you agree to the and . We will use your information according to the communication choices above.

Name, mobile, and email-nothing that slows the line down.
SMS and email permission are captured separately, with the exact copy version stored.
No medical or health details are collected at the booth.
Validation and normalization run before anything reaches the CRM.

Demo only-do not enter real personal, medical, or health information. Use the fictional demo information provided.

Takeaway

Short capture with explicit permission beats a long booth intake nobody finishes.

Try the capture form