Destiny's Soul Canvas Client Consult Form

Destiny's Soul Canvas Hair Client Consult Form

Proudly Owned & Operated by Joraya Maag
Today's Date

MonthDayYear
Date
First & Last Name
If different from you're Profile Name you're scheduled under, please provide both.
Preferred pronouns

X
Residing City

Other
Birthday (MM/DD)
Only Used for Special Birthday Gifts and Discounts!
Phone Number
Please Enter Best Number to be reached by.Format: (000) 000-0000.
Email
Optional
Social Media: @
Facebook or Instagram Only Please
How did you hear about DSC?

Google (Please specify search term used below)
Name of friend/salon that referred you:
Medical Hair Conditions (Including alopecia, pattern baldness, thinning hair, etc.)
What is your level of daily perspiration (Sweat)?
Physical Activities (Please check all that apply):

Other
ADDITIONAL INFORMATION
When out or at work do you regularly wear: select all that apply

Other
Rate your pain tolerance (aka How Tender headed are you)
Do you have sensitive skin or any known allergies? If YES please describe:
Is your hair naturally: select all that apply

Other
Is your scalp naturally: select all that apply

Other
How often do you shampoo each month?

Other
How often do you condition each month?

Other
How often do you heat style each week? (Blow dry, flat iron, curl)
Please select all the tools/products you currently regularly use: select all that apply
Do you have a bedtime haircare routine? (eg. Scarves, Braids, ponytail, damp hair, special pillowcase)
How many times in a 6 month period do you currently visit a hair care professional? (eg. Salon, Barber, Stylist, Colourist etc.)
What do you visit your hair care professional for?
Have you ever owned or have had a hairpiece, wig, or extensions before?
If YES, please describe your experience.
Please describe the wave pattern of your natural hair: select all that apply
Appointment Scheduled? If you have already booked an appointment through my page, even if I haven't approved it, please include the date/time/and service requested so I can make sure this form is filed correctly.
Appointment Needed? If you are looking to schedule an appointment, please visit my Facebook Page at DESTINY'S SOUL CANVAS to do so! If you will be scheduling an appointment soon or in the future, in the space below please provide the profile name you will be scheduling under. Thank You!
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Destiny's Soul Canvas Hair Client Consult Form

ADDITIONAL INFORMATION