Client Consultation Form
Please fill out this form to proceed with the booking process.
Name
*
First Name
Last Name
Phone Number
*
Email
*
example@example.com
Upload a current selfie
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Upload your inspiration picture
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How long is your hair?
Short
Medium
Long
Over 12" In Length
How often do you currently wash your hair?
Every day
Every other day
Twice a week
Once a week
Other
How would you describe your hair?
Dry
Normal
Oily
Other
Describe your hair by checking the options below: (You can select more than one)
Healthy
Damaged
Straight
Wavy Curly
Fine
Thick
Other
What is your hair story?
Are you currently prescribed any medications? Yes / No (DO NOT list the medications).
What products do you normally use on your hair? Brand? Where do you purchase them?
How did you hear about this salon?
Facebook
Twitter
Instagram
YouTube
Google Search
Referred by a friend
Newspaper/Magazine
Other
Client Signature
Date Signed
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Month
-
Day
Year
Date
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