Haircolor Appointment Questionaire
Email (we do not share info.)
How did you hear about Great Hair Day?
Website / Online Search
If Referral, please list name
If Other, please let us know
Your Hair Profile
What are your hair care goals?
What are your hair care challenges?
Won't stay curled
Curly hair & don't know what to do with it!
What are you trying to achieve with your style?
Change of Haircolor
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.
More than 45 min.
What is your home styling comfort level?
I Want some Tips
What kind of styling tools are you using at home during your hair routine?
Styling tool? Ain't nobody got time for that!
Wear my hair the same everyday
Sometimes wear my hair differently on weekends
Open to new styles & change often
Try a new look everyday
Have you ever had a hair conditioning treatment service before?
What hair care products do you currently use?
What do you wish your hair did more of?
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.
Are you currently taking any prescriptions, vitamins, or hormones? If yes please list the items that may effect your service today.
Have you ever experienced hair loss or scalp problems?
Do you presently have any breakage, thinning or bald spots?
Please select any of the following chemical hair services you’ve received either professionally or at home.
Used box color (at home color remedy)
Less than 90 days ago
3-6 months ago
6-12 months ago
Have you ever received a chemical straighter or relaxer service or treatment?
Yes, within the last month
Yes, within the last 6-12 months
Please feel free to go into more detail about any questions you may have for your stylist
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.
Please take a couple hair selfies!
Upload some desired Hair results
What about this picture do you like?
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