New Client Form
Please complete and submit this form before your appointment
Full Name
*
First Name
Last Name
Phone Number
*
-
Area code
Phone Number
E-mail
*
example@example.com
How would you describe your hair shape?
*
Straight
Wavy
Curly
Super Curly
How would you describe your hair overall? Choose all that apply
*
FIne
Normal
Coarse
Thin
Thick
Oily
Dry
Dull
Limp
Unruly
Short (around the ears)
Medium (top of the shoulders)
Long (below the shoulders)
What products do you use, if any? Choose all that apply
*
Shampoo
Conditioner
Rinse-Out Treatment
Leave-in Treatment
Styling Products
None
Tell me what you love about your hair?
*
Tell me what you don't love about your hair?
*
In the past 5 years, have you used any of the following? Choose all that apply.
*
At home colour
Salon colour or foils/balayage
Coloured Shampoo/Conditioner
Henna
Keratin smoothing
Permanent straightening
Hair lightening spray
None of the above
How often do you shampoo/style your hair?
*
Daily
Every other day
2-3 times a week
Once a week
Please upload current pictures of your hair in natural light TAKEN WITHIN THE LAST 24 HOURS. NO FILTERS PLEASE. I need to see the FRONT and the BACK OF YOUR HAIR.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload desired pictures of the hair you want. Please show me multiple choices.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
What are your hair goals?
*
What have you budgeted for you hair appointment?
*
Is there anything else you would like to tell me?
Submit
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