Hair Color History

Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Are you pregnant ?

Has your hair been previously colored?

If YES , when was the last time it was colored ?

If “YES” what are the last 4 hair colors you have had with **approximate dates**

If YES , was it professional or box or henna , kool- aid, plant hair dye

If colored with box, how many times have you used it ?

If colored with “box” when was the last time you colored it with “box” ? please include what color you used

Have you ever used box?

If you answered box :

At this time, I do not offer color corrections. My services are curated to ensure predictable results, hair health, and the best possible experience for my clients.

What color is your hair currently?

Please specify

Do you have any gray’s?

How long is your hair? Shoulders, Bra length, or down to tail bone

How would you describe your hair? Thin, Thick , or really thick ?

Has your hair been damaged by bleach?

Have you ever had a chemical service ? Such as a perm, Brazilian blowout, straight perm?

Other

If YES , when was the service done ?

Please attach at least one picture of your current hair, must be in good lighting.

Please attach your inspo pic, remember this is an inspiration of how you would like your hair to look like.

I rent my chair W-F and these services can take up to 4-6 hours. Do you have a preferred day and time ?

Anything else you'd like us to know?