New Client Consultation Form
Client's Name
First Name
Last Name
Pronouns
Date of Birth
-
Month
-
Day
Year
Date
Client's Phone Number
Format: (000) 000-0000.
Client's Email Address
example@example.com
Occupation
What is your Instagram handle?
Select a hair service your interested in
Hair Cut
Root Touch Up
Transformational Cut
Color Correction
Full Highlight
Blonde Balayage
Color Blocking
Partial Highlight
Platinum Card
Vivid Balayage
Conditioning Treatment
Scalp Treatment
Glam Makeup
Special FX Makeup
Other
What days better suit your schedule weekday/weekend?
Upload an image of hair style or hair color you prefer
Browse Files
Drag and drop files here
Choose a file
You can upload multiple files here
Cancel
of
Upload an image of your current hair
Browse Files
Drag and drop files here
Choose a file
You can upload multiple files here
Cancel
of
How often do you get your hair done?
Every week
Every 2 weeks
Every 3-4 weeks
Every 2 months
Every 2-6 months
Twice a year
Once a year
Other
How long is your hair?
Short
Medium
Long
Other
What density is your hair?
Extra Fine
Medium
Medium/Heavy
Heavy
Extra Heavy
Other
What is your overall hair goal? Be as descriptive as possible.
What is the current condition of your hair?
Hair loss
Damage due to heat
Split ends
Breakage
Itchy scalp
Hair is dry
Dandruff
Other
What is the condition of your scalp?
Dry
Normal
Oily
Other
What shampoo and conditioner are you currently using?
How often do you shampoo your hair?
Every day
Every other day
Twice a week
Once a week
Other
Have you used the following in your hair before?
Permanent hair color
Keratin Treatment
Color Deposits (Splat, Overtone, etc.)
Henna
Box Color
When did you last do any chemical process in pervious question?
-
Month
-
Day
Year
Date
When did you last visit a hair salon?
-
Month
-
Day
Year
Date
When did you last apply professional or unprofessional color in your hair?
Do you have a budget you’re working with to achieve this hair?
Are you taking any medications? If yes, please list them below:
Kindly list the hair products that you are using
What are the tools you are using to style your hair?
How did you hear about me?
Facebook
Instagram
Google Search
Referred by a friend
Newspaper/Magazine
Other
Any special instructions, comments, or suggestions?
Terms and Conditions
By signing below, I agree to the terms and conditions of the salon company.
Client's Signature
Date Signed
-
Month
-
Day
Year
Date
Print Form
Submit
Submit
Should be Empty: