New Client Consultation Form
So Excited To Help You Reach Your Hair Goals! Please Answer Questions Honestly.
Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How Did You Hear About Me? (Write A Name If One Applies)
*
Service You Are Requesting
*
RE-VAMP ME
UPGRADE ME
TRANSFORM ME
COMPLETELY CORRECT ME
IM NOT SURE WHAT I NEED
Why Are You In Need Of A New Stylist? (Please do not list any names of people or Salons)
*
Please Upload Decent Quality Photos Of The Front, Side And Back Of Your Hair As Recent As Possible (these help determine if the package you want is the right if it so if your hair looks nothing like the pictures you have uploaded you will not get guaranteed results)
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Browse Files
Cancel
of
Please Upload Decent Quality Photos Of How You Want The Front, Side And Back To Look Like
*
Browse Files
Cancel
of
How Much Gray Hair Do You Have?
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Zero
10-25%
50%
100%
How Has Your Gray Been Getting covered Recently?
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I Don't Have Gray Hair
Highlighting
Touched up with Permanent Color
Blended with Demi Permanent Color
I Don't Know
How Would You Like Your Gray Covered?
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I like It Blended, Its okay if a few peek through
I like 100% Coverage, I want to see zero Gray hairs leaving the salon
How Do You Like To Wear Your Hair Most Of The Time?
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Straighten It With Heat
Waved With Heat
Smooth But Volumized
Air Dried With No Heat
What Is Your Hairs Current Pattern?
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Straight and Flat
Straight and Fluffy
Naturally Curly Low Frizz
Naturally Curly High Frizz
Other
Scalp condition
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Flaky
Dry
Itchy
Oily
Other
How Is Your Hairs Current State?
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Healthy, Very Little Split Ends
A Little Dry, Needs A Trim
Very Dry, Tangly, Needs More Than A Little Off
Severly Damaged, Breaking Off, Needs A Big Chop
Other
Have You Ever Had An Allergic Reaction To Hair Color?
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Yes
No
When Is The Last Time You Had Your Hair Done And What Was Done? And Was It Done Professionally?
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Date or any approximate weeks
How Often Do You Change The Color Of Your Hair?
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Every month/Every 2 months/Quarterly/Yearly
Have You used Box Color On Your Hair In The last 3 years?
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Yes
No
Have You Worn Extensions Before?
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Yes
No
What Shampoo And Conditioner Are You Using?
*
Are You Using Any Hair Products Before Styling? If yes, please list them below:
*
Are you pregnant? (Women)
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Yes
No
Any Special Requests or Things You Think I Should Know About?
*
Date Signed
*
-
Month
-
Day
Year
Date
Client's Signature
*
Submit
Print Form
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