New Client Inquiry for Silk Press & Hair Growth Journey

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number* This field is required.

Please enter a valid phone number.

4

First time visit?* This field is required.

YESNO

5

What city and state do you wish to be serviced?

6

How would you describe the current state of your hair?* This field is required.

Naturally curly

Relaxed or permed

Natural silk press

Colored or bleached of any kind

7

Upload a photo of your hair in its natural state.* This field is required.

8

what hair service are you interested in?* This field is required.

9

Have you ever had a Silk press?* This field is required.

YESNO

10

What is the length of your natural hair?* This field is required.

Short (earlobe, chin or above shoulder length)

Medium (on or at the shoulders)

Medium to long (below shoulders to bra length)

Long to extra long (lower back to hip length)

12

What is your natural curl pattern?* This field is required.

Straight 1A-1C

Wavy 2A-2C

Curly 3A-3C

Kinky curly 4A-4B

Coily-kinky straight 4C

13

What condition is your hair currently?* This field is required.

Healthy (no split ends, no damage)

Thinning/shedding

Heat damage

Hair loss

Breakage of any kind

Dry/itchy scalp

Brittle/hard/dry hair

Scalp build up/skin sensitivity

15

Please share anything else you’d like us to know or see differently with your hair?* This field is required.

16

Do you agree to follow Nyce N’ Chic recommended use of hair and skin care regimen/ or products for best results?

YESNO

17

Upload a photo of inspiration or your desired look.

18

Signature* This field is required.

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19

What date(s) are you looking to book?* This field is required.(All date requests are not final until approved)