She Rocks Locs New Guest Consultation Form
Rashena Jenkins, Holistic Dreadlock Care and Maintenance Professional
Name
*
First Name
Last Name
Pronouns
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Which is the best method to contact you?
*
Phone
Email
Text Message
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about me?
*
Please Select
Social Media
Web Search
Friend/Family
Other
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What service(s) are you seeking?
*
Instant Locs
Starter Locs
Maintenance (focuses on the roots of the locs)
Grooming/Retwist (palm rolling, locsmything; focuses more on the shaft of the loc. )
If your hair is currently loc'd, how long have you had your current set?
When was the last time you had maintenance?
*
How often do you shampoo/condition?
*
If your hair is currently loc'd, have you ever had detoxed them?
*
Yes
No
Not sure
What shampoo(s) are you currently using?
*
What conditioner(s) are you currently using?
*
What other products do you currently use on your hair?
*
What are your hair goals?
What are your expectations for your hair care professional?
*
Do you have any known allergies? If "Yes" Please List
*
Any additional information you would like to include?
A photo/video may be taken during your appointment. Are you okay with having photo/video including your face posted online (website, social media, etc.)?
*
Yes
No
Please upload current well-lit pics of your natural hair from each of the front,crown,left side, right side and back.
*
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