Lifted Perm Consultation Form

So, you are wanting a Curl Cult Perm Service! Answering these questions honestly will help us choose the right style for you and to make sure your hair is in the right condition to receive the service. Our goal is to put out healthy hair and if your hair is not currently in the right condition to receive the service, we will make a plan for you to be able to receive one in the future!
Name:*
Phone Number:*
(777)777-7777
Email *
Don’t worry , it stays with Lifted.
Do you have a particular stylist in mind? *
Have you ever had a perm?*

YesNo
Does your hair hold a curl with a curling iron?*

YesSort ofNot at all
What are you wanting to achieve with a Curl Cult service? Select any that apply.*

WavesCurlsTextureVolumeFullnessBodyCurl Reforming
What are your goals with the outcome of the Curl Cult service? This is so I can do the best job creating a look that works for you!*
Have you had any of these chemical treatments done within the last 3 years? Check all that apply.*

BalayageHighlightsDirect PigmentsColor Remover/CorrectionBrazilian Blowout/Smoothing ServiceHair Straightening/RelaxerPerm/Chemical WaveBox DyeHennaNone
If yes, please share details about it. How often was it done, was it professionally done, and when was the last time you got it done?
Are you willing to cut your hair for the desired end result?*

YesNo
Do you have any cuts, sores, or skin conditions affecting your scalp or are you experiencing hair loss?*

YesNo
Are you currently taking any of the following medications?*

AccutaneHeart MedicationHair Loss MedicationOther
MUST KNOW:
A Curl Cult service is not actually finished at the salon but after it has 48 hours to reform the newly changed bonds in your hair. If your hair becomes soaked, washed, or excessively weighed down during those 48 hrs, it
will ruin the desired results. If during these 2 days you feel underwhelmed by your service, this will change on wash day when you are allowed to wash, style, and enjoy your new look!

Just like with hair coloring/chemical
services, a Curl Cult service may take several sessions to create the look you have envisioned. You may need to try different rods and setting patterns before we find your favorite look. For very healthy or resistant hair types, a first time perm can sometimes be looser or not last as long as the hair was resistant to perming.
Please upload photos of your current hair. *This is best done with a buddy taking the photo in indirect sunlight for truer results *

Browse Files

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Please upload any hair goal photos you have!*

Browse Files

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I understand that following my stylist's recommended products + home care is crucial to the success of my perm.
Signature*

Clear
Thank you for taking the time to fill out this form!

Have any questions for us? Please reach out to askliftedsalon@gmail.com

Looking forward to connect with you!
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