New Client Form

Name* This field is required.

First Name

Last Name

Preferred Name and PronounsWe respect and celebrate you for who you are, no matter how you identify.

Name

Pronouns

Email* This field is required.

example@example.com

Phone Number* This field is required.

Please enter a valid phone number.

What products are you currently using on your hair?Shampoos, conditioners, pomades, waxes, gels, sprays, oils, etc

Are you experiencing hair loss? If yes, do you know what's causing it?Please be as detailed as possible!

If you are not experiencing hair loss, please type "no".

How often do you wash your hair?* This field is required.No judgement here! We are better able to advise on concerns if we know what your home care routine is like

Every day

Every other day

2-3 times a week

Once a week

Every 2 weeks

Every 3 weeks

Do you currently color your hair?* This field is required.

Nope, all my natural hair

Professional color

Professional lightener/vivids

At home color

At home lightener/vivids

Henna

To your knowledge, is your hair damaged?* This field is required.What kind of damage? heat, environmental, chemical damage, medication/illness, etc

If your hair isn't damaged, please type "no."

Do you have a sensitive scalp?* This field is required.Crochet tightens the roots of your dreadlocks, which can be uncomfortable for some. We can make adjustments and help you prepare if you are sensitive.

Yes, my scalp is sensitive

No, I've got a tough head

I'm not sure

Type option 4

What type of service are you interested in?* This field is required.

New natural dreadlocks (no extensions)

New natural dreadlocks (with extensions)

Dreadlock maintenance/repair/reconstruction/trim

Dreadlock extensions on existing locs

Temporary install of synthetic or wool dreadlock extensions

Have you ever gotten maintenance on your dreadlocks?* This field is required.

YESNO

What type of maintenance have you gotten before?* This field is required.Select all that apply

Crochet

Interlocking

Retwist (with wax or gel)

Palmrolling

Never gotten maintenance

Don't have locs

How often do you get maintenance on your dreadlocks?

Every month

Every 2-3 months

Every 4-5 months

Every 6 months

Every 7-8 months

Every 9-10 months

Once a year

Special occasions only

Who does your maintenance?* This field is required.

spouse/family member/friend

professional loctician/dreadlock artist

never had maintenance

What method(s) did you use to start your dreadlocks?* This field is required.Select all that apply

Backcomb

Backcomb and crochet

Twist and rip

Coils/twists/braids/starter locs

Freeform (washing and not brushing)

Neglect (not washing and not brushing)

Don't have locs yet

How old are your natural dreadlocks?* This field is required.

weeks, months, years

What issues are you experiencing that you would like to address at the appointment?* This field is required.Select all that apply

Loose fuzzy roots

Mild congo-ing (roots growing together, crosshairs)

Severe congo-ing (roots matted)

Bumps/lumps/loops/zigzags

Loose hair in the bodies of the locs

Weak spots

Breakage (dreadlocks breaking off)

Foul Odor

Wax or product buildup

Sections too large

Sections too small

Want to blunt ends

Want to trim length

Start wicks/combine small dreadlocks

How long have you been thinking about locking your hair?* This field is required.

Months, years, I used to have dreadlocks and want them back, etc

How much of your hair do you want locked?* This field is required.

All of it!

All of it, but with bangs or loose hair around the face

Large partial (nape to crown, 4-6 rows)

Dreadhawk (mohawk but with locs)

Top Locs (dreadlocks on the top only, sides and back cut short in an undercut)

Partial (3 rows, starting at nape)

Individual dreadlocks (up to 10)

What size dreadlocks do you want?* This field is required.

Micro (smaller than a pencil)

Small (pencil)

Medium (sharpie)

Large (highlighter)

A mixture of sizes

How would you like your sections?* This field is required.

Neat grid with sharp lines

Organic, but still balanced

Type option 3

Type option 4

How would you like the ends to look?* This field is required.

blunted

tapered

long and loose

Type option 4

What is your hair type?* This field is required.select as many as needed

thick

thin

average

fine

coarse and straight

coarse and curly

coarse and coiled

soft wave

soft curl

straight

How many of your natural dreadlocks do you want extended?* This field is required.All of them, 6, the ones around my face, etc

Be specific

How much extra length do you want?* This field is required.

6 inches

8 inches

10 inches

12 inches

14 inches

16 inches

What color do you want your extensions to be?* This field is required.be descriptive!

What hair type would you like your extensions made from?* This field is required.

afro/coil

straight

curly

Type option 4

Would you like to add any simple wraps or charms?* This field is required.I have some available at the shop but feel free to bring your own!

YESNO

Do you currently have a set of single-ended or double-ended extensions you would like braided into your natural hair?* This field is required.

YESNO

How many and what type of dreadlock extensions do you have?* This field is required.10 SE, 20 DE, etc

How much of your hair are we braiding in?* This field is required.

All of it

dreadhawk

partial (loose hair laying on top)

all of it, but with bangs/fringe

all of it, but I have an undercut

Anything else you would like us to know?

File UploadPlease upload clear, well-lit photos of your current hair. Natural light is preferred. Please include a photo of the FRONT, BACK, BOTH SIDES, and any inspiration photos.

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Max. file size: 10.6MB