Form
NEW CLIENT COLOR REQUEST FORM
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Are you wanting to maintain current look or make a change?
When was your last color appointment?
Please list what you have done to your hair within the last 3 years, please specify what has been professionally done and/or done at home:
What density best describes your hair
Please Select
Fine
Medium
Thick
What texture best describes your hair
Please Select
Straight
Wavy
Curly
Coarse
Is your hair dry, oily, or just right with current routine?
Please list any scalp/hair issues you are currently experiencing:
Please list any medications you have taken in the last 6 months:
Do you have any allergies that I need to be aware of?
Please list what you like & dislike about your hair currently:
Please list why you are leaving your last stylist:
What is your current salon maintenance schedule? How often are you back in the salon?
How often would you prefer to be back in the salon?
How many hours can you commit to in the salon for color sessions (i.e. 2-3 hours, 3-4, however long it takes)
Please describe your current at home routine, including how often you wash, products, heat tools, etc.
Please select what you are looking to get done:
Please Select
Cut
Go lighter
Go darker
Add dimension (highlights/lowlights)
Gray coverage/gray blending
Go cooler/ashier
Go warmer/golden
When are you looking to get in by?
Please upload at least 3 photos of your current hair (front, back, and side) in indirect natural lighting. For any color correction, please upload of problem areas.
Browse Files
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Please upload at least 3 inspiration photos of what you would like your hair goals to be
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Signature
Submit
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Should be Empty: