Hair Color Questionnaire
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
What is your Instagram Handle? (If applicable)
Has your hair been previously colored?
Yes
No
If so, within the last year about how many times has your hair been colored or lightened?
What color is your hair currently?
Blonde
Brown
Gray
Brown with highlights
Red
Other
Please specify
How long is your hair?
Have you lightened your within the last 12 months?
Yes
No
Please attach at least 1 picture of your current hair in natural lighting. Also attach a picture of what you’re roughly looking for.
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