COLOUR CONSULTATION FORM

1
Name
First Name
Last Name
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Instagram Handle* This field is required.My preferred way to keep client messages organized. The easiest place to stay connected, answer your questions & share inspo photos.
@yourname
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Cell Phone Number* This field is required.Contact number for booking.
Area Code
Phone Number
4
What service(s) are you interested in?* This field is required.Select all that apply.
Dimensional Balayage or Foiling
High Impact Blonding
Vivids & Unicorn Hair
Going Darker or Changing Tone
Grey Blending
Full Grey Coverage
5
How often are you looking to maintain your colour?* This field is required.Certain colours and techniques require more upkeep than others. Commiting to a level of maitanance means we can create realistic options that make sense for you & your lifestyle.
4-6 weeks
8-12 weeks
6 months
Once a Year
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My hair is...* This field is required.Select all that apply.
Thin
Thick or Coarse
Straight
Wavy
Curly
Coily
Short (pixie to buzz length)
Medium (chin to shoulder length)
Long (past shoulders)
Exxxxxtra Long
Has Extensions
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If your hair is curly, describe it below.Select all that apply.
Type 2 - Waves
Type 2/3 - Loose Curls
Type 3 - Ringlets
Type 3/4 - Tight Spirals
Type 4 - Coils & ZigZags
Not sure
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I have concerns with...* This field is required.Select all that apply.
Dry scalp
Oily scalp
Dry or frizzy hair
Damaged hair
Flat hair
Too much hair
No major hair concerns
Other
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Have you used any of these products on your hair?* This field is required.Be as accurate as possible as these products can impact results & hair health if unexpected.
Sun-In
Henna
Overtone or other Temporary Dye
Perm/Relaxer
In-Salon Bleach or Foils
At-Home “Pro” & Box Bleach
In-Salon All-Over Colour
At-Home “Pro” Colour & Box Colour
NONE of the above
Other
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If you selected yes for any products or chemical services from the last question, when were they last used?Remember hair grows about 6 inches per year - colour and chemicals can remain way longer than we think.
In the last 6 months
6 months - 1 year
1-2 years
3 - 5 years
6 years +
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Do you have any allergies or sensitivities?* This field is required.Type none if this doesn’t apply to you.
12
Hair History & Additional InfoInclude any relevant info you didn’t cover. Past issues you’ve had, current concerns, etc.
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Small
Ok
Ok
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Upload a picture of your current hair - No Filter & Natural Lighting.* This field is required.Taken within the last 2 weeks.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Browse Files
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Upload your inspiration picture* This field is required.You can never have enough inspiration to go on - feel free to DM me @LEELA.DYES if you have multiple inspo photos you want to share with me
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Browse Files
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In a perfect world, what hair would you want to have? Pick 3-5 words to describe your dream hair. * This field is required.It doesn’t have to be super realistic or what you’re looking for currently.
Ex. Super Long, Rainbow, mini bangs etc.
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What is your budget range?* This field is required.NO WRONG ANSWER - it’s important your hair goals are realistic for you. I can give you options & suggestions to get you where you want to be (or close) within your budget.
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Normal
Small
Ok
Ok
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Were you referred?If so, type the name of who referred you.
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Disclaimer* This field is required.
Should be Empty: