Consultation Request Form
Please, take a moment to fill out the questionnaire below. This data gives our stylists the insight to receive the highest quality of services. For any questions please do not hesitate to call. Your stylist will contact you prior to your appointment to discus your questionnaire. Thank you!
I have... (Select all that apply)
Hair color (salon)
Bleached/ Highlighted hair
Natural straight hair
Scalp: Dandruff or eczema
Hair loss/ thinning
Naturally wavy hair
"Virgin hair" Never colored
Extensions or wigs
Dry and itchy skin
Relaxed/ straightened/ keratin/ chemically smoothed hair
What concerns do you have about your hairs health?
Which do you have the following of?
Soft or softened water
Are you currently taking medication for blood pressure, thyroid, Diabetes or other conditions?
Do you have any allergies we should be aware of?
Do you currently take any supplements, natural herbs or vitamins?
What would you like to learn during your visit
Revive your hairs health and texture
Ways to improve you hairs thickness, strength, and condition
Technniques of the latest styling trends
Knowledge of products that are free of toxic ingredients
What day approximately are you looking to book?
What time approximately are you looking for?
What date are you approximately looking for?
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