Comprehensive Online Hair Consultation
Thinking of booking and appointment? this is a great place to start. This form allows us collect as much information as possible about your hair and lifestyle so we can provide the most accurate advice possible on future hair services. For some enquiries, we may still require an in salon extended consultation. All of your information given is secure & stored on file in our encrypted system.
About You
Name
*
First Name
Last Name
Email
*
Mobile Number
*
Format: (000) 000-0000.
Date of Birth
*
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Month
-
Day
Year
Date
Pronouns
She/Her He/Him They/Them
Occupation
About Your Hair & Scalp
How would you describe your hairs volume?
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Average
Thin
Thick
How would you describe your hairs natural texture?
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Very straight
Slight wave
Wavy / Curly
Frizzy
Curly
Coily / Afro
How often do you go to salon for hair treatment?
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Every week
Every 2 weeks
Every 3-4 weeks
Every 2 months
Every 2-6 months
Twice a year
Once a year
Other
In the last 7 years please select any treatments you have had applied to your hair
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Permanent hair color
Keratin Treatment
Razor cut/Thinning
Relaxer
Henna
Perming
Bleaching
Box Colour
Smoothing
Chemical Straightener
Bright/Vivid Colour
How often do you apply shampoo and conditioner your hair?
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Every day
Every other day
Twice a week
Once a week
Other
Do you have any of the following concerns?
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Thinning Hair
Flaky Scalp
Sensitive Scalp
Oily Hair
Split Ends
Heat Damage
Colour Damage
Have you ever had an allergic reaction to ANY hair service?
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If yes, please detail. Allergic reactions should be taken seriously & can occur without any warning, even with prior testing. We take any potential risks seriously and may require allergy testing before an appointment.
Are you currently taking any medications? Medications can affect your hair & scalp and are important to disclose. If yes, please list them below. If not, leave it blank.
Your Hair Goals
I'm hoping to have the following result / services:
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Gray Coverage
Vivid/Bright Hair
Hair Color Blending
Haircut
Balayage
Restyle Haircut
Bleaching
Styling Advice
Highlights
Smoothing
Going Darker
Total Transformation
Im Unsure
Other
Please tell us a little more about what you are hoping to achieve.
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Upload photos of your hair in good lighting. Selfies are okay, however we need to be able to see your hair as clearly as possible.
*
Browse Files
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Choose a file
You can upload multiple files here
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Attach any inspiration photos of what you are hoping to achieve. You can upload as many as you like here.
*
Browse Files
Drag and drop files here
Choose a file
You can upload multiple files here
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Please indicate the list of hair products you're currently using:
How did you hear about us?
*
Facebook
Twitter
Instagram
YouTube
Online Advertisement
Google Search
Referred by existing client
Newspaper/Magazine
Other
Name of client who referred you to us
Please let us know if you have a preferred stylist, date or time frame. We will contact you for any more information around this. Please note, requests may not always be possible.
Client Signature
*
Date Signed
*
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Month
-
Day
Year
Date
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