Hair Salon Client Intake Form
Client's Name
*
First Name
Last Name
Client's Phone Number
Client's Email Address
*
example@example.com
Do you have an allergy that I should be aware of prior, to help with product selection? If yes, please explain.
How did you hear about CRWN'd salon?
*
Instagram
Facebook
Directory (Rezo, Devacurl)
Family/Friend
Search Engine (Google, Yelp)
Upload an image of different hair styles or hair color you prefer
Browse Files
Drag and drop files here
Choose a file
You can upload multiple files here
Cancel
of
Upload an image of your current hair
Browse Files
Drag and drop files here
Choose a file
You can upload multiple files here
Cancel
of
How often do you go to salon for hair treatment?
Weekly
Once a year
Every 3-4 months
Twice a year
Every 5-6 months
Never
How long is your hair?
Short
Medium
Long
Other
What is the current condition of your hair?
Hair loss
Damage due to heat
Split ends
Breakage
Itchy scalp
Hair is dry
Dandruff
Other
What is the condition of your scalp?
Dry
Normal
Oily
Other
How often do you apply shampoo and conditioner in your hair?
Every day
Every other day
Twice a week
Once a week
Other
Have you use the following in your hair before in the last 2 years?
*
Permanent hair color
Keratin Treatment/ Brazilian Blowout
Razor cut/Thinning
Relaxer
Henna
Texturizer
Permanent Straighten Treatment
NONE
When did you last apply professional or unprofessional color in your hair?
Kindly list the hair products that you are using
Any special instructions, comments, or suggestions?
By signing below, I agree to the terms and conditions of the salon company.
Print Form
Save
Submit
Should be Empty: