IgboCurls Hair Consultation Form

Thank you for choosing to consult with Chinwe Juliet (IgboCurls). Let's get your hair flourishing!
Book an Appointment Date*
Name*

First NameLast Name
Phone Number*
Email*
example@example.com
How old are you?*
“My hair is...”*

NaturalRelaxedDryTexlaxedLimpFrizzyBrittle (breaks easy)Damaged from heatThinningReceding (receding hairline)Damaged at the ends (split ends)Chemically over-processedNone of the aboveAll of the aboveOther
What is your biggest concern?*
What is your hair type?

StraightWavyCurly (Type 3)Kinky Coily (Type 4)
What is your hair texture?

Thin/FineMediumThickCoarse
What is your hair density?

Very ThinSomewhat ThinNeither Thin nor ThickSomewhat ThickVery ThickNot Sure
Is your hair color treated?*

YesNo
Is your scalp:*

OilyDryNormal
How oily does your scalp get within two days of washing?*

Not OilySomewhat OilyVery Oily
How often do you wash?

Every dayEvery other dayEvery 3-4 daysOnce a week
Is dandruff or flakiness an issue?*

YesNoSomewhat
How often do you apply heat?*

NeverOnce in a while2-3 times a weekDaily
How do you prefer to style your hair?*

Air-dried and styledBlow-dried and styledOnly air-driedOnly blow-driedOther
Are you currently taking any medication or supplements?*

YesNo
If yes, please explain.
Have you suffered from any health condition that affected your hair?*

YesNo
If yes, please explain.
Please Upload a Clear Photo of Your Hair
What products do you use to style your hair?
What are your ultimate hair goals?
Briefly write your hair history and any other information you think may be of help to our consultation.
What is your Instagram handle?
My Products
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Natural Hair ConsultationA natural hair consultation done over video or audio call. (The client chooses what method is more comfortable for them).
$19.99 Quantity
Item subtotal:$0.00

Natural Hair Consultation + ProductsA natural hair consultation with recommended products shipped to the client.
$89.99 Quantity

Total

$0.00
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1. Natural Hair Consultation

2. Natural Hair Consulation + Products
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