Name
*
First & Last
Phone
*
Email
*
Instagram
Have you been a guest at CLOVE HAIR SALON in the past?
What salon services are you interested in?
*
Are you an Aveda Plus Rewards member?
*
Yes
No
No, and I am interested in becoming one ($10 sign up fee)
How would you describe the texture of your hair?
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Straight
Wavy
Curly
Coily
Other
How would you describe the condition of your scalp?
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Oily
Dry
Normal
Sensitive
Other
How often do you wash your hair?
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Daily
1-2 days
4 days+
What is the length of your hair?
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Short (above shoulders)
Mid-length (at shoulders)
Long (below shoulders)
Very long (waist length and longer)
What is your favorite thing about your hair?
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Least favorite?
What is your biggest hair concern/issue?
*
Please send us an image of your hair now, and at least one inspiration photo:
*
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Who is your hair/style inspiration?
What type of Shampoo/Conditioner do you currently use?
*
Has your hair been chemically treated in the past?
*
Example: color/smoothing treatments/perms/relaxers
Are you on any sort of medication that might cause skin/scalp sensitivity?
*
Yes
No
Unsure
Are you interested in being contacted for further model opportunities?
*
Yes
No
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