Pre-Consultation Tool
This information will be kept private, and will not be shared with anyone.
Full Name
*
First Name
Last Name
Phone
*
E-mail
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birth Date
January
February
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1920
Year
How did you hear about Blend?
*
Friend/Family
Instagram
Facebook
NextDoor
Other
If you were referred by someone, who can I thank for sending you?
How would you describe your hair? Select ALL that apply.
*
Thick
Thin
Fine
Coarse
Straight
Wavy
Curly
Grey
Long
Medium Length (collarbone)
Short Length (above shoulders)
Unmanageable
Have you ever used at-home (box) color?
*
No, never!
Yes, within the last 2 years.
Yes, 2-5 years ago.
Yes, more than 5 years ago.
When was your last hair color appointment?
*
1-4 weeks ago.
1-2 months ago.
2-4 months ago.
4+ months ago.
I've never been to a salon for hair color.
I'm looking to (select any that apply)
*
Go Lighter.
Go Darker.
Add Dimension (highlights and/or lowlights).
Cover Grey.
Blend/Disguise Grey.
Balance uneven color.
Go Cooler/Ashier.
Go Warmer/Richer.
Total Transformation.
Refresh/Maintain my existing color
What do you love about your hair? If this is a struggle to answer, has there been a time when you loved your hair?
*
What are some challenges you have with your hair?
Are you currently experiencing any hair/scalp issues? (Select any that apply)
*
Thinning
Bald Spots
Breakage
Flaking
Scalp Irritation
Dryness
Excess Oil
Slow Growth
Significant Hair Loss
I am not experiencing any issues
What types of coloring/chemical services have you received in the last 2-5 years? (Select all that apply)
*
Professional Color (at a salon)
Professional Highlights (at a salon)
Box Color (at-home, drugstore)
Henna
I've never colored my hair before
I've never had a chemical service before
Chemical Straightener
Perm
Relaxer
Keratin Smoothing Treatment
Brazilian Blowout
Something Else
Do you use professional hair care at home?
Yes, of course!
No
Sometimes
Please upload 1-3 inspiration photos that showcase the look you desire.
Browse Files
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Please upload photos of your current hair. {FRONT & BACK} Lighting is everything, please use natural indirect light and NO filters please {Outside, in the shade preferably}.Have someone help you if needed!
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
How often are you willing to visit the salon to maintain your look?
*
1-2 months
3-4 months
5-6 months
6+ months
How much time are you able to commit to each color session?
*
1-2 hours
3-4 hours
I'm okay with however long it takes to achieve my goals.
Which is more important to you?
*
Getting to my hair goal as quickly as possible.
Maintaining the health/integrity of my hair.
Which day(s) is best for you? [Select all that apply]
*
Wednesday
Thursday
Friday
Saturday
What appointment time is best for you? [Select all that apply]
*
Morning 9am-11am
Afternoon 12pm-4pm
Evening 5pm-7pm
Are you looking to get in on/before a certain date?
-
Month
-
Day
Year
Date
What are your top priorities and/or concerns for our sessions together?
Is there anything else you'd like me to know about you/your hair?
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