Hair Color Client Intake Form

Hair Color Client Intake Form

Thank you for choosing me, to craft your dream hair! Please fill out the form below if we’ve talked about a consultation or you already have an appointment. This way I get to know a little bit more about you and your hair goals. Can’t wait to make your hair dreams come true!
Client's Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Client's Phone Number
Format: (000) 000-0000.
Client's Email Address
example@example.com
Occupation
What services are you interested in? (Check all that apply)

Other
What was your last color service? How often do you typically color/chemically treat your hair?
Upload an image of hair style or hair color you prefer

You can upload multiple files here
Cancelof
Upload an image of your current hair

You can upload multiple files here
Cancelof
How often do you go to salon for hair treatment?

Other
How long is your hair?

Other
What is the current condition of your hair?

Other
What is your hair density?

Other
What is your natural hair texture?

Other
What is the condition of your scalp?

Other
How often do you wash your hair?

Other
How often do you heat style your hair?
Have you used the following in your hair before?
When did you last visit a hair salon?

MonthDayYear
Date
When did you last apply professional or unprofessional color in your hair? How was your experience?
Are you taking any medications? If yes, please list them below:
Describe current hair care routine. (Shampoo, conditioner, hair treatments, etc)
What are your hair goals? What are you looking to achieve?
How did you hear about us?

Other
Any special instructions, comments, or suggestions?
By signing below, I agree to all cancellation and other salon policies.
(click here for Cancellations & Policies)
I understand that not all services may be possible given previous color or condition of my hair.
I understand that some services may require multiple sessions to achieve.
I understand I have 48 hours after my service to contact the salon regarding any concerns or issues. After 48 hours, I understand any additional services needed will be scheduled as a full charged appointment.
I allow my hairstylist to take photos or videos for documentation, education, and social media purposes.
Client's Signature
Date Signed

MonthDayYear
Date
Should be Empty: