Client Intake Form
Due to limited availability and high demand for services, potential clients are required to fill out the client intake form below. All forms are checked every Tuesday at the start of each work week with further booking information or recommendations. NOTE: ONLY ACCEPTING NEW CLIENTS AT THE RANCHO CUCAMONGA LOCATION.
Ful Name:
First Name
Last Name
Email:
example@example.com
Phone Number:
Please enter a valid phone number.
Instagram Handle:
Date of Birth:
-
Month
-
Day
Year
Date
Emergency Contact Name:
Emergency Contact Number:
Please enter a valid phone number.
How did you discover us?
Instgram
Facebook
Google ad
Referral
Referred by:
How would you describe the current condition of your natural hair?
Healthy & Hydrated
Dry & Brittle
Easy & Manageable
Thick & Unruly
Length
Above the shoulders
Between shoulder and bra strap
Bra strap or longer
Curl Pattern
Wavy
Curly
Coily
Not sure
Do your have any chemicals in your hair? (Relaxer, Keratin, Color, etc).
Have you worn extensions before?
Are you currently in extensions? If so, what type? If not, when was the last time you wore them?
What are your reasons for wanting extensions?
Fullness
Length
Color
Protection
When was the last time your hair was done by a professional in a salon?
Are you aware of any allergies you may have?
How often are you willing to come into the salon for hair services?
Do you wear your hair pulled back in high or low ponytails?
How often do you work out or exercise?
Are you currently taking any type of medication?
Do you perspire heavily in your hair, scalp or face?
Do you have any hair/scalp conditions or concerns?
Please upload a current photo of your hair. (No full body images. Photo must show full length of your hair. No photo filters or effects)
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Please list any additional details or concerns that should be addressed during consultation appointment.
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Should be Empty: