Jazmin’s Curlss Hair Consultation

1
Jazmin’s CurlssThank you so much for your interest in booking with me! I specialize in curly hair, but do accept all textures. Please fill out these questions as best as possible so I can get an idea of all of your hair concerns and all of your hair goals! If you are interested in just getting a curly cut with no color service, complete the form and feel free to book online at jazminscurlss.com. Let’s get started!
Start Consultation
2
What is your name?* This field is required.
First Name
Last Name
3
Email* This field is required.
example@example.com
4
What services are you interested in booking?* This field is required.Please select all that apply
Curly cut and shape
Treatments
Color
Styling
Signature haircut(not curly)
5
Great! Now, What is your hair type?* This field is required.
Straight
Wavy
Curly
Coiled
Zigzag
6
Please describe your hair density:* This field is required.From Thin to Thick
Please Select
Please Select
Thin (noticeable scalp)
Medium ( hardly noticeable scalp)
Thick (no visible scalp)
7
When was your last haircut?* This field is required.
8
Is your hair color or chemical treated?* This field is required.
Yes
No
9
In detail, explain the last five years of your hair color journey. Example. How many times have you had color in your hair? Was it professionally done in salon or at home color?
10
If your are interested in color, are you looking to maintain your current color or completely change your color?
Please Select
Please Select
Full transformation
Color change
Color maintenance
Color correction
11
If yes, when was your last service?
12
Is your scalp:* This field is required.
Oily
Dry
Normal
13
Is dandruff or flakiness an issue?* This field is required.
Yes
No
14
Primary & Secondary Concern* This field is required.Select ALL that
Dry
Needs shaping
Frizzy
Brittle (breaks easy)
Damaged from heat
Damaged at the ends (split ends)
Chemically over-processed
Color correction
Other
15
How often do you apply heat?* This field is required.
Never
Once a week
2-3 times a week
Daily
16
What products do you use to style your hair?* This field is required.
17
What is your biggest concern?* This field is required.Please insert any details about your hair that I should know about here.
18
What are your ultimate hair goals?* This field is required.
19
If you are interested in color, Please insert pictures of your desired hair color.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
20
If you are interested in color, please insert a clear picture of your current hair in bright lighting.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
21
SignatureI hear by agree that all information stated is true and accurate.
Powered by Jotform SignClear
Should be Empty: