Luluroc Studio Intake Form

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The Salon Address is 3141 West Gate Drive, Fairview Park, Ohio

Located inside Salon Lofts in Suite #5 at Westgate shopping Center.

Please fill out the form below to help be get a better understanding of not only your current hair, but also your hair goals or any complications you are having.

Form must be filled out prior to your first color appointment. Thank you!
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What is your Name?* This field is required.
First Name
Last Name
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Email* This field is required.
example@example.com
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Phone Number* This field is required.
Please enter a valid phone number.
5
How did you hear about me?* This field is required.If a friend referred you, please drop their name below.
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Have you ever had an adverse reaction to color? If yes, please explain below.* This field is required.If you have any allergies to hair color, explain below.
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When was your hair colored last?* This field is required.If you cannot remember, just estimate as best you can.
Less than 3 months ago
3-6 months ago
6-9 months ago
9-12 months ago
over a year
Girl, it's been forever!
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Do you color your hair at home or professionally?* This field is required.No judgement! Having accurate information is key to a great appointment.
At home
In the Salon
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How would you describe your hairs density?* This field is required.How thin or thick your hair feels.
On the thinner side
Thick
Medium, seems normal
Extra Thick! Hair for 4 people.
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How would you describe the texture of your hair?* This field is required.
On the finer side
Medium, not too fine, not too course
Course, I tend to have trouble with frizz.
Course and curly
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Are there any hair or scalp issues that need to be addressed today?* This field is required.Check all that apply
No, I'm good!
Dry/Damage
Dry scalp
Split Ends
Oily Scalp
Frizz
Tangling
Lack of dimension
Dull color
Difficult Grays
Brassiness
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Upload current photo of your hair. * This field is required.Good lighting is key. In front of a window, or outside works best. Please no bathroom selfies.
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Inspiration picture.* This field is required.I love inspiration pictures! Post your favorite inspo pictures and bring more to your appointment if you'd like!
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Are you scheduled for an appointment already?If you are unsure which package to select, I will email you back to let you know which would fit best for your hair goals.
Yes! Can't wait!
Yes, but i am unsure if I chose the correct color package.
Not yet, but I am planning on it!
No, I am unsure which package will work best for me, can you help?
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PoliciesCancellation Policy: I understand that things can come up. I value your time, and hope you value mine too. In the event you need to cancel your appointment, please be sure to notify me no later than 24 hours before your scheduled appointment. Failure to notify in time will incur a cancellation fee. Any appointment not cancelled within 24 hours of the scheduled date and time falls under my cancellation policy protocol. You will be asked to pay 25% of each services booked in order to reschedule. If you have any questions regarding this policy please communicate them before committing to an appointment. Service Adjustment Policy: Your satisfaction is the highest priority. If you are not completely content, please let me know during your service or within 7 days after your service has been performed. I am committed to making any needed corrections, as long as it falls in the services discussed and agreed upon during the consultation. This does not include a "change of heart". A price will be charged if you've had a change of heart about what you had asked for. I will be pleased to accommodate you free of charge in most circumstances. For said complimentary service to be done, this request must be made within 7 days of your initial appointment. Product Return Policy: A lightly used product may be returned by the next scheduled appointment you have with me. Make sure to reach out to me with your concerns as soon as possible after using the product. Salon Etiquette: Discriminatory/Derogatory statements and actions are prohibited in the salon and will not be tolerated. I have the right to refuse service to anyone behaving improperly, intoxicated or if their state of health may influence the effects of the service. Confidentiality and Privacy: Every client has the right to privacy and confidentiality. Client information and email lists are confidential and will not be sold or shared with outside companies.
I have read & agree to these terms, policies and conditions.
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