Meghan Curly Hair Consultation Form
Name
*
Last Name
*
Pronouns
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Email
*
example@example.com
How did you hear about us?
*
Social Media
Online Search
Referral
Other
If referral, please list name:
Your Hair Profile
What services are you looking to book with me?
*
Curly Haircut
All-Over Color
Bayalage/Blonding
Vivid Hair Color
Have you ever experienced hair loss, thinning, breakage or bald spots?
*
Yes
No
If yes, please explain:
What are your hair goals?
*
Tell me about your overall experience in the salon having curly hair.
*
How often do you straighten your hair?
*
Daily
Every other day
Weekly
Once a month
Special occasions
Never
Have you ever relaxed your hair or used Brazilian blowouts?
*
If so How many times in the 3 years?
*
1
2
3
4
Many times and consistently.
Have you ever received a chemical straighter, relaxer service or similar treatment?
*
Yes, within the last month
Yes, within the last year
Over a year ago
Never
How would you describe your curls?
*
Zig Zag
Coily (Tight curls)
Curly (Soft but full curl)
Wavy, holds curl well
How thick would you describe your hair as?
*
Very thick
Thick
Average
Not so thick
How long does it take you to detangle your hair?
*
Just a couple mins
10-15 min
20-35 min
An hour
DAYS...
What are your hair care challenges?
*
No volume
Too much volume
Too thick
Too thin
Oily
Breakage
Dryness
Frizziness
Curl Management
What are you trying to achieve with your style?
*
Volume
More Curls
Better Shape
Grow Out Length
Preferred average visits to the salon:
*
Every 2-4 Weeks
Every 6-8 Weeks
Every 2-3 months
Every 4-6 months
Once a year
How much time do you spend styling your hair after you wash it?
*
Less than 15 mintues
Up to 30 minutes
Up to 45 minutes
More than an hour
I understand that if I cancel my appointment with less than 24 hours I will be charged 75% of the service fee. If I no show my appointment, I will be charged 100% of the service fee. Repeated late cancellations will result in a deposit being required to book for all future appointments.
*
I agree to this statement
I understand, have read and completed this questionnaire truthfully. I understand that previous treatments and/or chemical services can affect the outcome of my desired results. I have fully disclosed all requested information related to my hair history. I understand that withholding information or providing misinformation may result in contradictions and/or irritation to the hair service being received.
*
I agree to this statement
Signature
*
Date
*
-
Month
-
Day
Year
Date
Save
Submit
Should be Empty: