New Client Consultation Form

Curly Guest Pre Consultation
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State

Zip Code
Mobile Phone Number *

Area Code Phone Number
Email (REQUIRED) *
example@example.com
How did you hear about The Patricia Perry Salon? *

Website / Online Search Yelp Facebook Instagram Deva Curl Naturally Curly
If Referral, please list name
If Other, please let us know
Your Hair Profile
Have you ever had a curly specific hair cut? *

DevaCut Quidad Other Never
Upload up to 3 of you favorite inspo pics. *
Please take a few hair selfies of your hair in a well lit area.(include front/back/both sides.) *
What products are you currently using?
Shampoo/Cleansers *
Conditioner *
Stylers: *
How much styling time is spent at home? *

Less than 5 min. 5-10 min. 10-15 min. More than 15 min.
What is your home styling comfort level? *

Uncomfortable Comfortable Very Comfortable I Want some Tips
Please feel free to go into more detail about any questions you may have for your stylist
Should be Empty:

Curly Guest Pre Consultation