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CONSULTATION FORM
Please fill out the form below to help me identify your specific needs.
Last Name
*
First Name
*
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
Will you accept to receive text and/or email Informations?
*
Yes
No
How may i contact you? Pls specify your preference
*
Email
Phone text / WhatsApp
How did you ear about me?
Google/ Search Engine
Social Media (Facebook, Instagram)
Recommended by friends/ Collegues
Others
Let´s talk about your Mane. Your hair is:
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chemically treated (relaxed)
colored
virgin, natural
How long have you considering natural haircare?
Primary Hair Concern
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Frizz
Thinning
Dull
Damaged
Fine/Limp
Dry/Brittle
Secondary Hair Concern
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Frizz
Thinning
Dull
Damaged
Fine/Limp
Dry/Brittle
Do you know your type of hair porosity? (Porosity is define as the hair's ability to absorb and retain moisture)
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Low porosity (hair repels moisture when trying to wet it)
Medium porosity (hair can be chemically treated withpredictable results)
High porosity (hair lost easily moisture, is prone to frizz and tangling)
Can we talk about your hair's density? I want you to observe closely your hair (start with dry and loose hair). Can you see ...
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your scalp very easily? (low density hair)
some of your scalp (medium density hair)
It is difficult or impossible to see your scalp (high density hair)
Which hair products are you currently using? Please list them (pls specify the brand)
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How do you consider yourself?
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DIY (you like to make your own hair products)
Your prefer store-bought hair products
A bit of both
How do you detangle your hair? (Wet or dry state?)
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wet
dry
with my fingers
with a wide tooth comb
with a brush
How do you wear your hair mostly?
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open /free (i love to see my kinks)
in protective styles
straight
How long do you keep your hairstyle?
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1-2 weeks
3-5 weeks
more than 6 weeks
How often do you trim your ends?
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In a regular basis
occasionally
Never (i want to keep my lenght!!!)
Do you currently have a Stylist?
Yes
No
Are you looking for a Stylist?
Yes
No
Please list any additional comments or concerns that you may have regarding your hair, health and beauty (allergies...etc.)
Please verify that you are human
*
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