SCDH New Color Client Form

Name*

First NameLast Name
Phone Number*
Email*
example@example.com
Instagram
@example
Select a salon service*

Blonding (lightening service, balayage, highlights, foils)Color (darkening, root touch up, all over color)Other
What are your hair goals for this appointment?*
Upload photo of CURRENT hair in natural light.*

You can upload multiple files here
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Upload INSPIRATION photos here.*

You can upload multiple files here
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How often do you get your hair done?*

Every weekEvery 2 weeksEvery 3-4 weeksEvery 2 monthsEvery 2-6 monthsTwice a yearOnce a yearOther
How thick is your hair?*

ThinAverageThick
Describe your hair by checking the options below (you can select more than one):*

HealthyDamagedStraightWavy/CurlyFineThickThinningOther
Describe the status of your scalp.*

DryNormalOilyOther
When did you last apply professional or unprofessional color in your hair?*
Please be honest - it matters when I formulate your color!!
Please list the hair products you're currently using:*
No judgement!
What are your biggest challenges with your hair?*
What are some things you LOVED about previous salon experiences?*
What are some things you DISLIKED about previous salon experiences?*
What is your availability?*

Weekday DaytimeEvenings (After 5)SaturdayVaries (Enter availability below)Other
How did you hear about me?*

FacebookInstagramOnline AdvertisementGoogle SearchReferred by a friend (Ask about the referral program!):Friends Name
Signature*

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Please sign before submitting.
Date Signed*

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Date
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