Virtual Consultation Form

A Perfect Hue Salon

Virtual Consultation Form
Full Name *

First Name Last Name
Phone Number *

Area Code Phone Number
E-mail
Best form of contact, Call, Text, Email?
Which days of the week are you available? Select all that apply.

Sunday Monday Tuesday Wednesday Thursday Friday Saturday
What times of the day are best for your schedule? Select all that apply.

Morning Afternoon Evening
Have you ever been to A Perfect Hue before?

Yes No
Preferred Service Provider
What services would you like to experience with your visit? Select all that apply.

Balayage Highlights Color Correction Gloss Base Color Haircut Treatment
Current Condition ?

Heat Damage Chemical Damage Breakage Frizzy Dry Scalp Dandruff Oily
What chemicals have you used in your hair in the last year ?

In Salon hair color Home Hair Color Lightener (Bleach) Keratin Treament/ Relaxer/ Smoothing treatment/ Henna/Overtone/Manic Panic
When was the last time you colored your hair?

Within the last two months 3-6 Months 7-12 Months 1-2 Years
What Color is your hair currently

Black Brown Blonde Fashion Color Multi Dimensional (Combination of Color)
Has your skin displayed an allergic reaction to hair color?

Yes Not that I know of
Take Photo: Please upload an image of your current hair in natural lighting. *
Please Send a photo of your dream hair. *
Should be Empty:

A Perfect Hue Salon