New Client Consultation Form

Name *

First Name Last Name
Phone Number *

Area Code Phone 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 Search Yelp Facebook Referral Other
If Referral, please list name
Your Hair Profile
What are your hair goals? *
What are your hair care challenges? *

No Volume Too thick Dryness Breakage Frizziness Won't stay curled Dull Curly hair & don't know what to do with it!
How do you prefer your hair styled? *

Volume Curl Straight Wavy Natural
Average visits to a salon: *

every 6 weeks Every 6-12 weeks Every 3-6 months Once 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? *

Uncomfortable Comfortable Very Comfortable I want some tips
What kind of styling tools are you using at home during your hair routine? *

Flat Iron Curling Iron Blowdryer Styling tool? Ain't nobody got time for that!
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?

No Yes
Have you ever experienced hair loss or scalp problems?

No Yes
Do you presently have any breakage, thinning or bald spots? *

No Yes Not 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/foils Permanent Color on Roots/All Over Balayage Combo of both
Have you ever received a chemical straighter or relaxer service or treatment? *

Yes, within the last month Yes, within the last 6-12 months No
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.
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Your Hair Profile

Hair History