Pre-Consultation Tool

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

Month Day 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.

Cancel of
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! *

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?
Should be Empty: