Hair Color Consultation
Full Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
Email Address
*
what are your pronouns?
Preferred method of contact:
*
Phone call
Text message
Email
What days and times are you available for appointments?
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In the past two years, have you used any of the following (check all that apply):
*
hair color in salon
perm
hair color at home
relaxer
henna hair dye
keratin smoothing treatment
bleach or lightener
color remover/stripper
color depositing shampoo/conditioner
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Please check any conditions that apply to you now or within the past year:
*
sensitive scalp
trichotillomania (hair pulling)
alopecia
postpartum hair loss
weight loss surgery
scalp psoriasis
eczema
contact dermatitis / allergic reaction
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When is the last time you colored your hair (either at home or at a salon)?
Less than a month ago
1-3 months
3-6 months
6 months to 1 year
Longer than a year ago
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Do you have well water or hard water?
*
Yes
No
Unsure
Do you visit a pool or hot tub frequently?
Yes
No
Sometimes
Do you use a tanning bed, spray tan, or self tan?
Yes
No
Sometimes
Are you currently pregnant?
*
Yes
No
Unsure
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Please list any known allergies:
*
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How often do you wash your hair?
*
Daily
Every other day
Three times per week
Twice per week or less
How often do you heat style your hair?
*
Daily
Every other day
Three times per week
Twice per week or less
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How often are you willing to commit to visiting the salon for maintenance?
Every 4-6 weeks
Every 6-8 weeks
Every 8-10 weeks
Every 12 weeks or longer
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What shampoo and conditioner do you currently use at home?
*
Please list any treatments and/or styling products used at home:
*
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Which range best describes your budget for your color appointment?
*
$150 or under
Up to $200
Up to $250
Flexible over $250
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Please describe your current hair color, health, and history and tell me a little bit about what you are looking to achieve with your visit.
*
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Attach at least one recent photo of your natural hair with hair worn down taken in good lighting. If you can get one photo from the front and one taken from the back this will be most helpful.
*
Click to upload current hair photo
Drag and drop files here
Choose a file
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Upload any inspiration photos you like here. If you don't have any, it's OK to skip this step for now. We can look for ideas together.
Click to upload inspiration photo
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Choose a file
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Do you have any specific questions or topics you would like to make sure we address during the consultation? Please let me know so I can prepare to assist you!
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