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New Client Questionnaire
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email (This is how you will receive appointment information.)
*
example@example.com
How did you hear about Sol Y Alma?
*
Website / Online Search
Yelp
Facebook
Instagram
Referral
Other
If Referral, please list name
If Other, please let me know
When is the last time you've been to the salon and what was/were the service(s) received?
What are your hair care goals?
*
What are your hair challenges?
*
No Volume
Too thick
Dryness
Breakage
Frizziness
Won't stay curled
Dull
Curly hair & don't know what to do with it!
Other
Average visits to a salon:
*
every 6 weeks
Every 6-12 weeks
Every 3-6 months
Once a year
Other
Are you interested in Hair Extensions?
*
Yes, but I've never had them before.
Yes, and I've had them before.
Not for me.
Other
If, you are interested in Hair Extensions are you looking for volume, length or both?
Volume
Length
Both
Other
How much styling time is spent at home?
*
Less than 15 min.
15-30 min.
30-45 min.
More than 45 min.
What is your home styling comfort level?
*
Uncomfortable
Comfortable
Very Comfortable
I Want some Tips
What kind of styling tools are you using at home during your hair routine?
*
Flat Iron
Curling Iron
Blowdryer
Styling tool? Ain't nobody got time for that!
Other
Hair Versatility
*
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?
*
Yes
No
What hair care products do you currently use?
*
What do you wish your hair did more of?
Hair History
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.
*
No
Yes
Other
Have you ever experienced hair loss or scalp problems?
No
Yes
Other
Do you presently have any breakage, thinning or bald spots?
*
No
Yes
Not sure
Please select any of the following chemical hair services you’ve received either professionally or at home.
In the last Four years have you received any chemical services? If yes, please explain in detail below (include at home color remedies and professional services).
*
Have you ever received a chemical straightener or relaxer service or treatment?
*
Yes, within the last month
Yes, within the last 6-12 months
No
Please feel free to go into more detail about any questions you may have for me to address in my response email.
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.
*
Yes
Signature
*
Please take a couple hair selfies! Be sure to include the front, sides and back all with no filters and good lighting to better assist you.
*
Upload some desired Hair results. Keep in mind hair length, hair tones, the amount of color and hair texture.
*
What about this picture do you like?
Submit
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