Hair Consultation Form

Welcome

We are so glad you’re here! Our ultimate goal is to get to know you a little better, and provide you with some accurate starting price points. Below we have a few questions to help determine your goals and expectations, once we receive this information we will reach out to you with your starting price point, as well as times available to book!
Client's Name*

First NameLast Name
Client's Phone Number*
Client's Email Address*
example@example.com
Occupation
Date of Birth

MonthDayYear
Date
What do you love about your hair?
Upload your inspiration picture *

You can upload multiple files here
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Tell us what you are hoping to get done to your hair or anything you might want us to know. Example; Color,cut, conditioning treatment, extensions, recent hair loss, etc.
Upload an image of your current hair *

You can upload multiple files here
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Preferred service provider, pick up to 2 options.

First availableStasiaKenleyMckenzieMandieKierstenJaelynSierraKenzie NicoleAlayna
How often do you want to maintain your hair?

Every 3-4 weeksEvery 2-6 monthsTwice a yearOnce a yearOther
How long is your hair?
How would you describe your hair?
What if your hair texture?
How often do you wash your hair?
How do you like to wear your hair regularly?
What is the current condition of your hair?

Hair lossDamage due to heatSplit endsBreakageHair is dryHealthyOther
Have you used the following in your hair before?

Permanent hair colorKeratin TreatmentRazor cut/ThinningRelaxerHennaBox colorSally’s colorAny color applied at home
When did you last visit a hair salon?

MonthDayYear
Date
When did you last apply professional or unprofessional color in your hair?
Please indicate the list of hair products you're currently using:
How did you hear about us?

FacebookInstagramGoogle SearchReferred by a friendOther
Any special instructions, comments, or suggestions?
Client Signature

Clear
Date Signed

MonthDayYear
Date
Should be Empty:

Welcome