Chemical service consultation
Form 1
1🖤 Today's date 😃
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Month
-
Day
Year
Date
2🖤 Name 🤩
First Name
Last Name
3🖤 Phone number 😃
Please enter a valid phone number.
4🖤 Please provide your hair length 🙂
Short (above shoulder)
Medium (Shoulder)
Medium Long (Pass shoulder to mid- back)
Long (mid-back or longer)
5🖤 Did you have any chemical service/hair color done within the last 12+ months? 👌 If yes, which service/hair color is it? How long ago did you get that done?
6🖤 Which hair color/ chemical service are you getting done? ☺️
Black
Brown/ Chocolate /Caramel
Ashy Blond/blond highlight
Red
Pink
Blue
Green
Rose gold
Gray/Silver
Purple
Balayage
Root touch up only
Full head color
Perm
Permanent hair straightening
Hair treatment ( gloss, mask)
Gray coverage
Other, please fill in #7
7🖤 Addtional details of your desired hair color/service below: 🤗
8🖤 Describe your current hair condition
Really dry, weak & damage 😵
A little dry & damage 😔
Ok, average 🙂
Good, healthy 😃
I'm not sure 🤔
9🖤 Upload 2 pictures ( 1st picture of your current hair from the back, 2nd picture of desired color/perm/style) 👌
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10🖤 Signature ✍️
🖤 To be filled by your technician. Services' history 😁 🖤
Submit
Should be Empty: