New Client Form

1

What's your name, friend?

First Name

Last Name

2

Phone number

Please enter a valid phone number.

3

Email

example@example.com

5

How would you describe your hair length?

Very Short (TWA, Pixie)

Short (bob length)

Medium (Shoulder length)

Long (mid-back and beyond)

6

Is your scalp:

Oily

Dry

Normal

7

Is dandruff or flakiness an issue?

yes

no

somewhat

8

Is your hair color treated?

yes

no

9

Please list any & all allergies you have experienced as it pertains to hair or skincare (please include, braiding hair allergies, reactions to hair color,etc)

10

What is your ultimate hair goal?

11

Please upload a recent picture of your natural hair:

Drag and drop files here

Select files to upload

Max. file size: 10.6MB