new client hair color consultation form

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
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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upload 2 images of your current hair, front and back taken in natural lighting

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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
how often do you shampoo and condition your hair?

every day every other day twice a week once a week
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
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
is there anything else you would like us to know?
Client Signature

Clear
Date Signed

Month Day Year
Date
Should be Empty:

new client color/chemical service consultation form