New Client Form

What's your name?*

How dense is your hair?*

	1	2	3	4	5

1 is Fine, 5 is Super Thick

What's your hair texture?*

	1	2	3	4	5

1 is Straight, 5 is Curly AF

Hair Color (Pick closest to what the majority of your hair is currently)*

BlondeBrunetteRed HeadOther

Have you colored your hair in the past two years?*

YesNo

If yes, when?

How often do you wash your hair?*

Daily1-2 days4 days+

How often do you use heat tools?*

What are you looking to have done? Hair goals here!*

Are you looking to see Dana, Jess or no preference?*

What is your availability/when are you looking to come in? (We are closed Sundays and Mondays)*

Anything else we should know? Hair concerns? Questions?

Instagram name?

Phone Number*

Email*