HAIR CONSULTATION FORM

1

Name

First Name

Last Name

2

How would you like to be contacted?

Instagram

Facebook

Email

Text

3

Please fill out the ONE option you chose above

I.e your Instagram handle

4

What goals do you have for your hair? (multiple choice)

Smooth and silky

Growth

Frizz control

Voluminous

5

What is your hair type?

Curly

Straight

Wavy

6

How would you describe the thickness of your hair?

Fine to medium

Medium to thick

Thick

7

What is your hair condition?

Oily

Dry

Normal

9

What chemical services have you had in the last 6-12 months?

Bleached/lightened

Keratin treatment

Chemical straightening

Coloured

Permed

10

How often do you use heat to style your hair (straightener, blow dryer etc)

1 - 2 times a week

3 - 4 times a week

Every day

Only for occasions

11

What products are you currently using?

12

Do you have any allergies?

13

How much would you like to spend on Hair Care?

$150-$200

$200-$300

$300+

Other

14

Email

example@example.com

15

Please provide your postal address, I can send you some samples to try

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country