New Client Intake Form
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
How did you hear about Elyse Colour?
What service are you inquiring?
Dimensional Brunette
Dimensional Blonde
Color Transformation
Keratin Treatment
Signature Haircut
Grey Blending with Dimension
Full Grey Coverage with Dimension
What Hair Texture do you have?
Thick
Coarse
Medium Fine
Fine
How long is your hair?
Above the Collarbone
At the collarbone
Below the collarbone
Mid-back or longer
What Hair Type do you have?
Straight
Wavey
Curly
Coily
Which of the following have been used on your hair with in the last 5 years? Please disclose your complete color history. Undisclosed color history can affect the safety and predictability of a color service
Professional permanent color in salon
Professional Demi/semi color in salon
Professional highlights/balayage in salon
At home color box color
Henna
Color depositing shampoo and/or conditioner/mask
Keratin smoothing treatment
Straightening treatment
None- my hair is completely virgin
What is your hair history over the last 2 years?
Please describe what you would like to achieve with your hair.
Please upload a picture of your current hair in natural lighting with no filter. Front, Sides, Back and of back parting.
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Please upload one picture of your inspiration/hair goal.
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I confirmed that all information indicated in this form is true and accurate.
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