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34
Questions
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1
Name
*
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First Name
Last Name
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2
Preferred Name and Pronouns
We respect and celebrate you for who you are, no matter how you identify.
Name
Pronouns
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3
Email
*
This field is required.
example@example.com
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4
Phone Number
*
This field is required.
Please enter a valid phone number.
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5
What products are you currently using on your hair?
Shampoos, conditioners, pomades, waxes, gels, sprays, oils, etc
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6
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".
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7
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
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8
Do you currently color your hair?
*
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Nope, all my natural hair
Professional color
Professional lightener/vivids
At home color
At home lightener/vivids
Henna
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9
To your knowledge, is your hair damaged?
*
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What kind of damage? heat, environmental, chemical damage, medication/illness, etc
If your hair isn't damaged, please type "no."
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10
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
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11
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
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12
Have you ever gotten maintenance on your dreadlocks?
*
This field is required.
YES
NO
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13
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
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14
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
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15
Who does your maintenance?
*
This field is required.
me
spouse/family member/friend
professional loctician/dreadlock artist
never had maintenance
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16
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
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17
How old are your natural dreadlocks?
*
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weeks, months, years
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18
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
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19
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
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20
How much of your hair do you want locked?
*
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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)
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21
What size dreadlocks do you want?
*
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Micro (smaller than a pencil)
Small (pencil)
Medium (sharpie)
Large (highlighter)
A mixture of sizes
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22
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
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23
How would you like the ends to look?
*
This field is required.
blunted
tapered
long and loose
Type option 4
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24
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
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25
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
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26
How much extra length do you want?
*
This field is required.
6 inches
8 inches
10 inches
12 inches
14 inches
16 inches
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27
What color do you want your extensions to be?
*
This field is required.
be descriptive!
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28
What hair type would you like your extensions made from?
*
This field is required.
afro/coil
straight
curly
Type option 4
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29
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!
YES
NO
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30
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.
YES
NO
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31
How many and what type of dreadlock extensions do you have?
*
This field is required.
10 SE, 20 DE, etc
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32
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
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33
Anything else you would like us to know?
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
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34
File Upload
Please 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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