Content Creation Model Form
Name
*
First Name
Last Name
Preferred Pronoun(s)
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
How often do you visit the salon
*
every week
every 2 weeks
every 3-4 weeks
every 2 months
every 2-6 months
twice a year
once a year
Other
How often do you wash your hair?
*
every day
every other day
twice a week
once a week
Other
How long is your hair?
*
short
medium
long
Describe the status of your scalp.
*
dry
normal
oily
Other
Describe the texture of your hair
*
thin
right in between
thick
thick ASF
Is your hair straight or curly?
*
straight
wavy
curly
coily
Other
Describe your hair’s current condition.
*
healthy
damaged
not TERRIBLE
Other
What’s one thing you like and one thing you don’t like about your hair?
*
Tell me about your hair care routine. Shampoo, conditioner, styling products, heat tools, etc.
*
Are you currently taking any medications? If so, what are they?
*
Have you ever had an allergic reaction to hair products, color, lightener etc? Please explain the circumstances if so.
*
Do you have any general allergies? If so, what are they?
*
Please provide 3 years of hair history. Box dye, professional dye, henna, sun-in, kool-aid, etc.
*
Please provide pictures of your current hair, unstyled and in natural lighting. Please provide a front, side and back view of your hair.
*
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Is there anything else I should know about you or your hair? (special requests, do you swim or workout a lot, are you experiencing hair loss, trying to get pregnant, etc.)
*
Please provide 3 dates & times that work for you. *This could potentially take 12+ hours, please do not have any other commitments on the day of your appointment and coordinate child/pet care*
*
I have read the above information and have given an accurate account of the questions. If I have any concerns I will address these with my stylist prior to the start of the service.
*
I agree
I agree to sign the Liability form at the time of booking
*
I agree
Signature
*
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