Hair consultation Form
Name
First Name
Last Name
How would you like to be contacted?
Instagram
Facebook
Email
Text
Please fill out ONE option you choose above
I.e Instagram handle- M.nylarose
What goals do you have for your hair?
Growth
Voluminous
Frizz control
Smooth and silky
What is your hair type?
Straight
Wavy
Curly
What are your hair concerns?
Frizzy
Dry
Damage and split ends
Other
If you picked OTHER please state down below…
What is your hair condition?
Oily
Dry
Normal
How would you describe the thickness of your hair?
Fine to medium
Medium to thick
Thick
How often do you use heat to style your hair? (Straightener, blow dryer etc.)
1-2 times a week
3-4 times a week
Everyday
Only for occasions
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What chemical service have you had done in the last 6-12months?
Coloured
Bleached/lightened
Chemical straightening
Permed
Other
If you picked OTHER please state down below.
How much would you like to spend on hair care?
Under $100
$100- $300
$300+
Do you have any health conditions/allergies?
Should be Empty: