New Client Consultation Form

CE Customized Client Questionnaire
Name*

First Name Last Name
Date of Birth (For a fun gift every year)*
Address*

Street Address

Street Address Line 2

City Province

Postal / Zip Code Country
Phone Number

Area Code Phone Number
Email (we do not share info. this signs you up for our loyalty program & monthly newsletter)*
example@example.com
How did you hear about The Cutting Edge Salon and Spa ?*

Website / Online SearchYelpFacebookReferralOther
If Referral, please list name
If Other, please let us know
When are you available?

Days onlyEvenings onlyWeekendsAnytime
Who is your Service Provider for upcoming reservation?
Your Hair Profile
What are your hair care goals? *
What are your hair care challenges?*

No VolumeToo thickDrynessBreakageFrizzinessWon't stay curledDullCurly hair & don't know what to do with it!
What are you trying to achieve with your style?*

VolumeCurlStraight
Average visits to a salon:*

every 6 weeksEvery 6-12 weeksEvery 3-6 monthsOnce a year
What are your morning hair rituals?
How much styling time is spent at home?*

Less than 15 min.15-30 min.30-45 min.More than 45 min.
What is your home styling comfort level?*

UncomfortableComfortableVery ComfortableI Want some Tips
What kind of styling tools are you using at home during your hair routine?*

Flat IronCurling IronBlowdryerStyling tool? Ain't nobody got time for that!
Hair Versatility*

Wear my hair the same everydaySometimes wear my hair differently on weekendsOpen to new styles & change oftenTry a new look everyday
Have you ever had a hair conditioning treatment service before?*

YesNo
What hair care products do you currently use?*
What do you wish your hair did more of?
Hair History

We have all done crazy things with our hair! Sometimes our daily routine will effect the outcome of your hair service. We just want to make sure your service will have the best results. So please be truthful and honest with the following questions. We don't judge.
Are you currently taking any prescriptions, vitamins, or hormones? If yes please list the items that may effect your service today.

NoYes
Have you ever experienced hair loss or scalp problems?

NoYes
Do you presently have any breakage, thinning or bald spots?*

NoYesNot sure
Please select any of the following chemical hair services you’ve received either professionally or at home.
Used box color (at home color remedy)
Have you ever received a chemical straighter or relaxer service or treatment?*

Yes, within the last monthYes, within the last 6-12 monthsNo
Please list the Colour Services you are inquiring about.*
I understand, have read and completed this questionnaire truthfully. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I understand that withholding information or providing misinformation may result in contraindications and/or irritation to the hair service being received.*

Yes
Signature*

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We require your current hair now photos-take a selfie please
Upload your desired Hair results
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CE Customized Client Questionnaire

Your Hair Profile

Hair History

Please select any of the following chemical hair services you’ve received either professionally or at home.