Online Hair Consultation

Online Consultation

Hey there! I'd love to know a little more about you to help you with your hair. Complete the form and then I'll be in touch soon with some suggestions of how I can help!
Name*

First NameLast Name
Email address:*
example@example.com
Phone Number*
Please enter a valid phone number.
Name on Facebook if you have a facebook account:
Instagram Handle if you have one:
What Is Your Hair Type?*

StraightCurlyWavyCoiled
What Is Your Hair Density?*

Thin/FineMediumThick/Coarse
Has Your Hair been Color Treated within the past five years?*

Yes, professionallyYes, non-professionallyNoBoth, professional + non-professional
Is Your Scalp...*

OilyDryNormal
How Often Do You Wash?*

Every dayEvery other dayEvery 3-4 daysOnce a week
Is Dandruff, Flakiness, or Itching an Issue?*

YesNo
My Hair Is... (select all that apply).*

DryOilyLimpFrizzyBrittle (breaks easy)Damaged From HeatThinningReceding (receding hairline)Has Split EndsChemically Over-ProcessedNone of the aboveOther
How Often Do You Apply Heat?*

NeverOnce in a while2-3 times a weekDaily
How Do You Prefer To Style Your Hair?*

Air-dried and Heat StyledBlow-dried and Heat StyledOnly Air-driedOnly Blow-driedOther
What Products Do You Use to Wash Your Hair? (Type & Brand)*
What Products Do You Use to Style Your Hair? (Type & Brand)*
What is Your Biggest Hair Concern?*
Have you ever considered Extensions?*

YesNo
Have you ever considered Scalpcare/Head Spa?*

YesNo
What Are Your Ultimate Hair Goals?*
Please take a picture of what your hair looks like currently:*
Please upload a few Inspiration/Hair goal photos here: (PLEASE ONLY INSPIRATION PICTURES HERE)*

NO FILTERS on photos please!
Cancelof
I'm Interested In...*

Just the ProductsThe works but I'm scared!THE WORKS!Not sure
Please leave any questions/concerns/notes below:
*DISCLAIMER*
This questionnaire is for me to get know your needs better to provide you with the most applicable hair treatment system. All information collected will be used for this purpose only. Personal contact information will be used for contacting you.
KayliePlummerHair

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Online Consultation

KayliePlummerHair