new client color/chemical service consultation form
Please fill out this form if you are a brand new hair color client or an existing color client who has not had color in 9 months or more.
Select the hair service you are interested in:
balayage
base break
color touch gloss (semi permenant color
double process color
fantasy color
full foil highlight
partial foil
single process permenant color
japanese thermal straightening
grey blending
Other
name
First Name
Last Name
phone number
-
Area Code
Phone Number
email address
example@example.com
please describe your hair goals:
upload 2 images of your desired result for inspiration
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of
upload 2 images of your current hair, front and back taken in natural lighting
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of
stylist you are requesting:
Amanda
Brian
Briana
Jennifer
Kelly
Keri
Rodolfo
Tricia
first available
do you have an upcoming appointment booked with us?
yes
no
date of your apppintment:
-
Month
-
Day
Year
Date
how often do you go to salon?
every 3-4 weeks
every 2 months
every 2-6 months
twice a year
once a year
Other
how often do you shampoo and condition your hair?
every day
every other day
twice a week
once a week
Other
please describe your hair texture:
straight
curly
wavy
please describe your hair density:
fine
medium
thick
course
what is the current condition of your hair?
hair loss
damage due to heat
split ends
breakage
hair is dry
Other
have you used any of the following on your hair before?
permanent hair color
relaxer
henna
keratin treatment
box dye (drugstore)
highlights (lightening done with foils, balayage or on-scalp)
sun-in, sun-bum spray or similar product
when did you last visit a hair salon?
-
Month
-
Day
Year
Date
when did you last have professional or unprofessional color applied to your hair? please describe
have you previously experienced challenges to your hair's ability to receive color/chemical treatment (ex. unpredictable results) due to medication? if yes, please list them below. if not, leave blank.
please list hair products you are currently using:
Email
example@example.com
how did you hear about us?
facebook
instagram
google search
referred by a friend
Other
is there anything else you would like us to know?
Client Signature
Date Signed
-
Month
-
Day
Year
Date
Submit
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