Amber@ Rhylee Grey Pre-Consultation

1

first name * This field is required.

2

last name * This field is required.

3

phone number* This field is required.

area code

phone number

4

email* This field is required.

example@example.com

5

how did you find us?* This field is required.(if it was from IG please share your @)

6

first we need to see your current hair * This field is required.make sure we your hair is down + fully visible; we need to the see front, back and sides

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

Browse Files

7

now let’s see your hair goal* This field is required.drop your top 2 hair inspos, don’t worry; they don’t have to be exact, we will still be doing a full consultation

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

Browse Files

8

when was your last color service?* This field is required.professional or at home

Date

9

do you have permanent color on your hair?* This field is required.

yes

no

I’m not sure

10

has your hair ever been box dyed or colored at home?* This field is required.

YESNO

11

has your hair ever been colored black?* This field is required.

YESNO

12

do you have gray hair?* This field is required.

YESNO

13

are you interested in luxury hair extensions?* This field is required.

YESNO

15

do you have any recurring or current scalp conditions?* This field is required.

YESNO

16

do you have any medical conditions or take any medications that affect your hair?* This field is required.

YESNO

17

please describe the past 2 years of hair services you’ve had:* This field is required.

18

what is your primary hair goal for your appointment with Amber? And do you have any reservations or concerns?* This field is required.