Client Consultation Form

1

Name

First Name

Last Name

2

Phone Number

Please enter a valid phone number.

3

Email

example@example.com

4

Which answer best describes your natural hair texture?

Straight

Wavy

Curly

Very Curly (Coily)

5

Have you had any chemical service performed in the last 5 years? (i.e. Hair color, Perm, Brazilian Blowout)

Yes

No

6

If answered yes, please describe chemical services below:

7

Have you used any at-home color in the last 5 years?

Yes

No

8

How would you describe your existing hair color? (light blonde, dark blonde, light brown, dark brown, darkest brown, black, red, etc.)

9

What is your end goal for your hair appointment? What would you like to see after this appointment?

10

What kind of maintenance are you comfortable having for your hair appointment, select all that apply:

Low maintenance (every 3-4 months)

Moderate Maintenance (every 8-12 weeks)

High Maintenance (every 4-8 weeks)

Whatever it takes to give me the style I am wanting!

11

Do you have any concerns or problem areas you would like to address in this appointment?

12

Please attach some photos of your hair inspiration if you have any!

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

Browse Files

13

Is there a time of day, or day of week that is typically best when scheduling an appointment? Are you open to most times?

14

How did you hear about me?

Social Media

Friend Referral

Website

Other