New Client Color Request Form
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
When was your last color appointment?
Are you looking to maintain your current look or make a change?
Please list what you have done to your hair color in the last 3 years (please specify if professionally altered or done at home):
What density best describes your hair?
Fine
Medium
Thick
What texture best describes your hair?
Coarse
Curly
Wavy
Straight
Do you feel as if your hair is dry, oily or just right with your current home care routine?
Please list any hair/scalp issues you are currently experiencing:
Please list any medication(s) you have taken in the last 6 months (some medications affect the hair during coloring processes):
Please list any allergies I need to be made aware of:
Please list what you currently like and dislike about your hair:
Please list your reasons for leaving your last stylist:
How often would you like to come back into the salon for maintenance?
How many hours can you commit to your color sessions (i.e. 2-3 hours, 3-4 or however long it takes)?
Please describe your current hair care routine to include the products you use (i.e. how often you shampoo, what you use, how often you style your hair and products/tools you use)
Please list all you are looking to get done:
Please Select
Cut
Go Lighter
Add Dimension
Gray Coverage
Gray Blending
Go Cooler/Ashier
Go Warmer/Golden
Go Darker
Please list your top 3 concerns or priorities for your hair during our first session together:
When are you looking to get in by?
Please upload 3 photos of your current hair (front, back and side) in indirect natural lighting. If you need any color corrective work done, please upload photos of your "problem" areas:
Browse Files
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of
Please upload AT LEAST 3 photos of your color inspiration:
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Signature
Submit
Should be Empty: