Form
Allergy Alert Test Form
Please complete at least 48 hours before each colour service
Name
First Name
Last Name
Do you have a sensitive, itching, damaged scalp or rash on face?
Yes
No
Do you have any allergies or reaction to a tattoo, henna or black henna tattoo or permanent make-up?
Yes
No
Have you had any allergic reaction to any skin product or perfume?
Yes
No
Are you taking medication for allergies?
Yes
No
Is it more than 6 months since last colour (self or professional)
Yes
No
Is it more than 12 months since last Allergy Alert Test
Yes
No
Have you had a tattoo, henna or black henna tattoo or permanent make-upsince last colour?
Yes
No
Have you had a reaction to any hair dye since last professional colour?
Yes
No
Are you changing brand or brand product range?
Yes
No
I can confirm I have completed this questionnaire accurately.
Submit
Should be Empty: