New client consultation form
Please complete this form so that we can guide you on which services you require, to ensure we allow sufficient time for your appointment and provide a more accurate price estimate. Please do not hesitate to contact us if you have any questions. We look forward to meeting you and helping you reach your hair goals!
Full Name:
*
First Name
Last Name
What are your pronouns? (optional)
Phone:
*
E-mail:
*
example@example.com
Services of Interest:
*
Going darker
Going lighter
Keratin smoothing
Permanent straightening
Hair repair
Scalp care
Cutting
Styling
Something else
Have you had any of the following services in the last 12 months?
*
Permanent straightening
Henna
Perm
None of the above
Have you ever had an allergic reaction to hair colour?
*
Yes
No
Do you have any allergies? Include food allergies as botanicals and fruits are sometimes ingredients in products, I also use essential oils in the salon.
*
Yes
No
Please list ANY allergies (including food allergies incase they are an ingredient in hair products that may be used in the salon).
Last Colour Details (inc est. date). Where you happy with your last colour?
*
Please upload a photo of your current hair:
*
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Additional current hair photo upload (optional):
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Please upload photos of your new hair inspiration:
*
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Additional inspiration photo upload (optional):
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How long is your hair?
*
Very short (pixie or similar)
To my chin/jaw line
To my collar bone/on shoulders
Shoulder length
Half way down my back
To my waist
Other
How thick is your hair?
*
Very fine
Moderately fine
Medium
Moderately thick
Extra thick
What do you like about your hair?
What do you not like about your hair? What would you change if you could?
What is your budget for your new hair?
*
How often can you visit the salon for maintenance appointments?
*
What is your maintenance budget?
*
What hair care are you currently using? Please note some products can interfere with colour & chemical service results.
*
Do you have any medical conditions? Are you currently pregnant, breastfeeding, recently had chemotherapy or surgery? Please note some medical conditions and medications can sometimes interfere with results. Some salon services are not recommended for some medical conditions. Please let me know if you have a condition that will prevent you from being able to use the shampoo basin.
How did you find us?
Do you consent to photos & videos of your hair being used for social media and marketing purposes?
*
Yes
No
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