SALON 1804 Form

1

Email* This field is required.

example@example.com

2

Name* This field is required.

First Name

Last Name

3

Phone Number* This field is required.

Please enter a valid phone number.

4

What challenges are you having with your hair. Please list top 3?

5

On a scale of 1 - 10 (10 being the best) what would you rate the condition and shine of your hair?

6

Do you have any specific concerns or issues with your hair (e.g., dryness, frizz, thinning)?

7

What specific symptoms are you experiencing on your scalp? (e.g., itching, flaking, redness, dryness, oiliness, soreness)

8

When did you first notice these symptoms, and have they changed or worsened over time?

9

Are you currently taking any medications or undergoing any medical treatments that may be relevant to your scalp condition?

10

How much of your time do you currently spend on hair styling?

5-10 min

15-20 min

30 min

+45 min

11

Can you recreate your hair at home, after leaving the salon?

Yes

No

Sometimes

12

Do you have any allergies or sensitivities to hair care products? If so please explain.

13

When was the last time you had your hair professionally colored? # of weeks/months/years:

14

If there were anything you could change or improve about your hair color what would it be?

15

Have you had any recent hair treatments or chemical processes done (e.g., coloring, perming, smoothing treatments)?

16

What service are you interested in? Booking service listed below does not require a consultation.Consultation is NOT required

Locs

Sew-in extensions

Smoothing Treatment

Silkpress

None of the above

Blow-out

17

What service are you interested in?Consultation IS required please remember to schedule.

Sisterlock Install

Microlock Intalll

Transfer Client sisterlock/Microlock

Microlink Extensions

Volume weft/Hand-tied extension

Color service

Tape-in extension

I-tips Extensions

None of the above

18

If you have chosen "none of the above," please provide the service you interested in?

19

Do you have any specific events or occasions coming up for which you'd like a special hairstyle?

20

Please provide any additional information that you would like us to know.

21

How will you book?By clicking this button you acknowl

I will be booking an appointment, if so please visiting our booking link to schedule your appointment

I will be booking a consultation, if so please visit our booking link to schedule your consultation

22

Thank you for filling out our consultation form! Your input will allow us to serve you better during your appointment. nowledge that this is not an appointment and you will need to

Kindly visit our website to schedule your desired service or consultation.