CUSTOM HAIR CONSULTATION
Name
First Name
Last Name
Instagram handle (please make sure it is spelt correctly)
I.e @charvel_edwards
Facebook handle (if applicable, if not type N/A)
I.e Charvel Edwards
TIKTOK handle (if applicable, if not type N/A)
I.e @charvel_edwards
Phone number to text you (if you are not based in Australia, please add your country code)
I.e +61 412 345 678
Email address
What is your preferred method of contact? (If you aren’t based in Australia, you must have iMessage to text, otherwise please choose Facebook or Instagram
Text
Facebook
Instagram
Are you 18+ (Must be 18+)
Yes
No
What country do you live in?
Australia
New Zealand
USA
Canada
UK
Ireland
Poland
Spain
Lithuania
France
Mexico
Colombia
What is your hair naturally?
Straight
Wavy
Curly
How would you describe the thickness of your hair?
Very thin
Thin
Thin to medium
Medium
Medium to thick
Thick
Very thick
What is your hair texture?
Fine (soft texture)
Coarse (rough texture)
Normal
I’m not sure
Is your hair Oily?
Very oily (Wash every 1-2 days)
Oily (Wash 1-2 a week)
No
Is your hair Dry?
Yes all over
Mid lengths to ends
Just my ends
No
Is your hair Damaged?
Yes, from colouring
Yes, from bleach
Yes, from chemical straightening
Yes, from the environment/sun
No
If your hair is Damaged, can you describe how it feels after you’ve washed it when it’s damp, and also when it’s straightened?
What chemical services have you had in the last 6-12 months
Bleached/lightened
Keratin treatment
Chemical straightening
Coloured
Permed
How often do you wash your hair?
Once a week
1-2x a week
3-4x a week
5x a week
Everyday
How often do you use heat to style your hair (straightener, blow dryer etc)
1 - 2 times a week
3 - 4 times a week
Every day
Only for occasions
What are the 3 biggest issues you would like to solve?
Frizz
Dryness/Damage
Oilyness
Itchy/Flakey scalp
Thin/Limp hair
More Hair growth
Do you have scalp issues?
Dry
Flakey
Itchy
Sensitive
Oily
Eczema
Psoriasis
N/A
Please explain your main concern about your hair?
What products are you currently using?
Do you have any allergies?
What is your budget in AUD?
$168 (this is the minimum, please note the products last 3-6months. If it is not within your budget please do not continue to fill out this form)
$200-300
$300+
Is there anything else you think I should know?
Which platform did you find this form to fill out?
Instagram
Facebook
TIKTOK
How did you find me?
Instagram
Facebook
TIKTOK
Referral
Other
If you were referred by someone, please write their Full name or social media handle below
Submit
Should be Empty: