New Client Proposal
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
What is your natural hair color?
• Blonde
• Brown
• Black
• Red
What is your hair type?
• Straight
• Wavy
• Curly
• Kinky
How would you describe your hair’s current condition?
• Healthy
• Dry
• Oily
• Damaged
What is the length of your hair?
Short
• Medium
• Long
• Extra-long
How thick is your hair?
• Thin
• Medium
• Thick
Is your hair currently colored?
• Yes
• No
Please explain
Is your hair highlighted?
• Yes
• No
Please explain
Have you had any other chemical treatments done recently (like perm, relaxer, etc.)?
Yes
No
If yes, list them below
What are your hair goals?
• Color change
• Covering grays
• Highlights/Lowlights
• Hair repair treatment
Do you have any scalp conditions or allergies we should know about?
• Yes
• No
If yes, tell us more
Is there a specific look or celebrity hairstyle you’re aiming for? (Please describe or attach a photo)
Please submit your current hair color and what your goal is!
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What hair care products do you currently use?
Is this visit prompted by a special event?
Any additional information or special requests you’d like to share?
How often do you heat-style your hair (blow-drying, flat iron, etc.)?
Daily
Weekly
Occasionaly
Never
Do you currently have any of the following treatments in your hair?
Chemical straightening
Perm
Highlights
Balayage
None
What services are you looking to book?
Just a haircut
2 hour session(good for coloring and highlighting along with a trim
3 hours (good for blondes, or color corrections)
When would you like your appointment to be? (Select your date
-
Month
-
Day
Year
Enter todays date for ASAP
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