Hair color form

1

Name

First Name

Last Name

2

Email

example@example.com

3

Phone Number

Please enter a valid phone number.

5

When was the last time you colored your hair? Was it done professionally or at home?

6

What best describes your hair type?

Fine

Medium

Coarse

7

What best describes your hair density?

A little amount

A medium amount

A lot

8

What products do you use on your hair? Please include the product brands and type. IE: shampoo, conditioner, styling products

10

Do you have any allergies and have you ever had an allergic reaction to hair color/products?If so please list the brands and the reactions.

11

How often do you get your hair colored?

3-4 weeks

6-8 weeks

10-12 weeks

Other

12

File UploadPlease upload photos of your current hair.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

13

File UploadPlease upload photos of your new color inspiration/hair goals.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

14

Please add any other additional information.