Flower Haircolor Questionnaire
Please fill out in detail before we schedule your consult.
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Have you colored your hair in the past 2+ years?
Yes
No
If Yes, please choose all that apply:
Conventional Salon Color - Permanent
Conventional Salon Color - Demi or Semi
Conventional Salon Color - Hilights, Balayage, Lift
Store Bought Color - Permanent, Demi or Semi
Store Bought Color - Lightener, Bleach or Hilight
Conventional Creative Color aka manic panic, splat, pravana vivid, etc
Henna or similar
Other
If Other, please explain:
Have you had any other chemical services done to your hair in the last 2+ years? Choose all that apply.
No
Yes, Perm
Yes, Smoothing Treatment
Yes, Keratin Straightener
Yes, Other
If "Yes, Other" please explain
What color(s) are your hair currently? Choose all that apply.
Hilights or Balayage
All over Permanent Color
Demi or Semi Permanent Color
Hilights and base color
Henna or similar
Natural
If the options above don't apply to you, please describe here:
How Often Do You Color Your Hair?
Never, virgin hair
Every 4-6 weeks
Every 6-8 weeks
Every 8-12 Weeks
Twice a Year
Once a Year
Do you have any allergies or sensitivities to conventional hair color chemicals or other ingredients? If Yes, please describe.
What Reasons Are You Wanting to Use Herbal Flower Hair Color? Please be specific.
Are you willing to have patience and an open mind with this natural way of coloring hair? Please remember, at the moment our Flower Hair Color will NOT cover more than 30% grey hair and works to blend them, not cover. Flower Hair Color also enhances your natural dimension and CANNOT lift color or lighten hair. Feel free to list any concerns or questions as well!
Age Range? We're not ageists, this just helps know what phase of life your hair is in. Hormones and age affect the production of our hair and natural color.
20-30
31-45
45-60
60+
Preferred way of Consult?
Email
Online Chat
Submit
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