New Client Consultation Form

New Client Consult

This form must be filled out before appointment acceptance.
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
How did you hear about Hannah?

Other
If Referral, please list name
Your Hair Profile
What are your hair care goals?
What are your hair care challenges?

Other
Average visits to a salon:
What kind of styling tools are you using at home during your hair routine?

Other
Hair Versatility
How would you describe the density of your hair?
How would you describe the length of your hair?
What hair care products do you currently use?
Hair History

We have all done crazy things with our hair! Sometimes our daily routine will effect the outcome of your hair service. I just want to make sure your service will have the best results. So please be truthful and honest with the following questions. This is a safe, no judgement zone.
Are you currently taking any prescriptions, vitamins, or hormones?

Other
Have you ever experienced hair loss or scalp problems?

Other
Do you presently have any breakage, thinning or bald spots?
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 smoothing service or treatment?
Please go into detail over any previously done color, including solid colors, lowlights or any blonding/highlighting. Please be truthful about all previous coloring, including services done by a licensed professional or at home. Please specify the month and year each service was done.
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, unexpected results, and/or irritation to the hair service being received.
Signature
Please take a photo showcasing the back of your hair. Please ensure photo is taken in natural daylight (in front of a window inside is best) to allow your stylist to see your hair the best.
Please upload an inspiration photo of hair that stands out to you. Clients looking to work with their natural color and wanting a more rooty, low maintenance look must upload photos that showcase the same natural color and no lighter.
What about this photo do you like?
You must submit this form before booking your appointment. Submissions will be reviewed during business hours. Please allow 2-4 business days for response. All submissions are not permitted to be approved. New clients will be approved based off current availability.
Should be Empty:

New Client Consult

Your Hair Profile

Hair History

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