New Client Form
Custom Hair Art by Kayla Bacon
Full Name
First Name
Last Name
Age
Phone Number
Format: (000) 000-0000.
Email
Occupation
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How do you prefer to be contacted?
Text, call, email & availability
What is your daily hair routine?
Are you washing your hair daily? Air drying or blow-drying? Heat styling? Get up & go? Give me the breakdown.
What do you love about your hair?
What do you dislike about your hair?
How would you describe your hair? Select as many as you feel.
Fine
Curly
Thick
Wavy
Dry
Straight
Oily
Damaged
Frizzy
Other
What is the chemical history of your hair for the past 3 years? Please include the last date of color service and details. Be as detailed as possible.
Natural/virgin hair? Box color? Splat? I need any and all past color/chemical service information.
What is your goal for our first session together? What is your overall hair goal?
Do you have a budget for your beauty services? If so, let me know to ensure the best possible experience.
What shampoo, conditioner & any other products are you using on your hair?
What type of maintenance are you wanting to upkeep?
Maximum (4-5 weeks)
Medium (8-12 weeks)
Minimum (12+ weeks)
Have you ever had an allergic reaction or irritation to a chemical service?
Yes
No
Are you pregnant or nursing?
Yes
No
How much water are you drinking daily?
64 ounces or more
24-32 ounces
12-24 ounces
Def not enough
What day of the week is best to reserve your appointment?
Sunday
Monday
Wednesday
Thursday
How did you hear about me?
Instagram
Referred by a friend
Google Search
Other
I have read & understand the booking and cancellation policy. Available in my Instagram highlights. If you do not have access to it, please contact me.
Yes
No
Date Signed
-
Month
-
Day
Year
Date
Client's Signature
Upload current hair photo. Natural lighting, no filter.
Upload inspiration photo.
Upload inspiration photo.
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