New Client Consultation Form

Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email (we do not share info. this signs you up for our confirmation & promotion emails)*
example@example.com
How did you hear about Altitude Salon?*

Website / Online SearchYelpFacebookReferralOther
If Referral, please list name
Your Hair Profile
What are your hair goals?*
What are your hair care challenges?*

No VolumeToo thickDrynessBreakageFrizzinessWon't stay curledDullCurly hair & don't know what to do with it!Other
How do you prefer your hair styled?*

VolumeCurlStraightWavyNaturalOther
Average visits to a salon:*

every 6 weeksEvery 6-12 weeksEvery 3-6 monthsOnce a year
What are your morning hair rituals?*
How much styling time is spent at home?*

Less than 15 min.15-30 min.30-45 min.More than 45 min.
What is your home styling comfort level?*

UncomfortableComfortableVery ComfortableI want some tips
What kind of styling tools are you using at home during your hair routine?*

Flat IronCurling IronBlowdryerStyling tool? Ain't nobody got time for that!Other
What hair care products do you currently use?*
Hair History

We have all done crazy things with our hair! Sometimes our daily routine will effect the outcome of your hair service. We just want to make sure your service will have the best results. So please be truthful and honest with the following questions. We don't judge.
Do you have any allergies?

NoYesOther
Have you ever experienced hair loss or scalp problems?

NoYesOther
Do you presently have any breakage, thinning or bald spots?*

NoYesNot sure
Used box color (at home color remedy)
If your last color service was done professionally, please indicate the last color service you received.

Highlights/foilsPermanent Color on Roots/All OverBalayageCombo of both
What kind of color service would you like to book at Altitude?

BalayageRoot Grey CoveragePartial or Full HighlightsAll Over Permanent Color
Have you ever received a chemical straighter or relaxer service or treatment?*

Yes, within the last monthYes, within the last 6-12 monthsNo
Please feel free to go into more detail about any questions you may have for your stylist
Please take a couple hair selfies!*
Upload Hair Inspiration photos*
What about this picture do you like?*
I understand, have read and completed this questionnaire truthfully. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I understand that withholding information or providing misinformation may result in contraindications and/or irritation to the hair service being received.*

Yes
Signature*

Clear
Thank you for your interest in getting your hair colored at Altitude Salon! We will contact you regarding an appointment in 24-48 hours. Please note we are closed Sunday & Monday.
Should be Empty:

Your Hair Profile

Hair History