Let’s talk hair!
Thank you for taking the time to answer these questions. It is a brief, post appointment consultation form. This helps me help you!
Name
First Name
Last Name
1. How would you describe your natural hair type?
straight
curly
wavy
coily
Other
2. What is your current hair length
*
Please Select
short
medium
long
short ( neck length or less- please view disclaimer on my booking website) medium ( shoulder length ) long ( passed armpit)
3. Have you had any chemical treatments in the last year? ( relaxers, perms, keratin treatments, )
Yes
No
Other
4. Are you experiencing any hair loss or thinning?
no
yes
If you selected "Yes", explain here..
5. Are you experiencing any scalp conditions?
Oily
Dry
Dandfuff
Seborrheic Dermatitis
Scalp Psoriasis
Other
If you selected " other" please explain below..
6. How often do you visit a hair care professional?
Please Select
Monthly
3-6 months
Yearly
Not often
7. What are your hair goals
growth
strength
moisture retention
all of the above
8. How often do you shampoo your hair?
weekly
bi-weekly
monthly
whenever I have the time
9. Are you allergic to anything? Do you have a sensitive scalp? If so, please list below..
BE VERY THOROUGH
10. What products are you currently using? ( shampoo, conditioners, styling products, etc) List below to the best of your ability..
11. Has your hair been colored with or without bleach?
yes, no bleach
yes, with bleach
no
12. How do you typically style your hair on a daily basis?
ponytail
weave braids
natural two strand twists
wash n go
wigs
other
13. When was your last trim?
Now that you are all done with the consultation form, we're almost ready to start your healthy hair journey. Enter information below and submit your consultation form. Hope to see you soon!
Email
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Phone Number
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Format: (000) 000-0000.
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