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  • 1
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  • 2
    Please Select
    • Please Select
    • Bald and/or close cut
    • Short
    • Short-Medium
    • Medium
    • Medium-Long
    • Long
    • Very Long
    • Damaged
    • Dry
    • Normal
    • Healthy
    • Virgin (has not been colored or chemically treated)
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    • Very Thin
    • Thin
    • Medium
    • Thick
    • Very Thick
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    • Very fine and/or fragile
    • Fine
    • Medium
    • Coarse
    • Very Coarse
    • Straight
    • Wavy
    • Curly
    • Coily
    • Uneven wave/curl patterns
    • Strong whorl at crown
    • Strong hair part/s
    • "Cowlick"
    • Unique and/or "difficult" hairlines
    • Red
    • Blonde
    • Dark blonde
    • Light brown
    • Medium brown
    • Dark brown
    • Black
    Please Select
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    • None
    • >10%
    • 10-25%
    • 25-50%
    • 50-75%
    • 75-100%
    • Flat or limp, needs volume
    • Thinning hair, hair loss, areas of alopecia
    • Oily hair and/or scalp
    • Dandruff, flakiness or dry, itchy scalp
    • Damaged from excessive heat, bleach or other sources
    • Split-ends
    • Frizzy and/or unmanageable
    • Dry, brittle or very tangly
    • Bleached and/or lightened
    • Color treated
    • Chemically treated (relaxers, perms, smoothing)
    • Heat treated
    • Product, mineral, chlorine, metal build-up
    • Resistant, wiry, excessively thick
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  • 3
    Include the front, sides & back. Please make sure to use good lighting and no filters.
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    Max. file size: 10.6MB
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  • 4
    • Professional color
    • Foils- highlights and/or lowlights
    • Balayage
    • Bleach and tone- on the scalp bleach
    • Vivid colors- blue, pink, green, purple, etc
    • Box color- from grocery or drug stores etc
    • Henna or "natural" dyes
    • Metallic dye- "just for men", progressive color
    • Colored shampoos or conditioners
    • Permanent Wave
    • Relaxer- Thioglycolate (as in permanent waves), Japanese straightener
    • Relaxer- Sodium Hydroxide (lye)
    • Smoothing treatment- keratin treatments, Brazilian blowouts, etc
    • None currently
    • Resistant- hard to cover gray, deposits lighter than wanted, does not lift easily, unwanted yellow/orange/red tones hard to remove, wave/curl pattern hard to smooth/relax, etc
    • Responsive- color deposits as expected, lightens and bleaches normally and can lift past yellow/orange/red tones without concern, wave/curl pattern smooths/relaxes as expected
    • Vulnerable- color deposits quickly or darker than expected (even on gray hair), hair lightens very quickly and/or is prone to damage when bleaching, smoothing or relaxing
    • Unsure
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    • Yes- >1 year ago
    • Yes- 1-2 years ago
    • Yes- 2-3 years ago
    • Yes- 3-6 years ago
    • Yes- <6 years ago
    • Never
    • Unsure
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    • Please Select
    • >1 month
    • 1-2 months
    • 2-4 months
    • 4-8 months
    • 8-12 months
    • <12 months
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    • Please Select
    • Yes
    • No
    • Unsure
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  • 5
    • Razor
    • Dry cutting
    • Texturizing shears
    • Thinning and/or de-bulking
    • Clippers
    • Shear over comb
    • Cutting your hair at home
    • Suck Cut
    • None of these
    • Something else
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    • Please Select
    • Yes
    • No
    • Unsure
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    • Please Select
    • >1 month ago
    • 1-2 months ago
    • 2-3 months ago
    • 3-6 months ago
    • 6-12 months ago
    • <12 months ago
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  • 6
    Please select any services you are interested in
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  • 7
    • trying to grow out your hair?
    • wanting to cut your hair shorter?
    • ready for a big change?
    • needing to maintain your current length and/or style?
    • ready to add bangs?
    • unsure what to do with your cut?
    • wanting to go darker?
    • wanting to go lighter?
    • trying to cover or blend gray?
    • wanting a change, big or small?
    • needing maintenance on your current color?
    • wanting to lower the maintenance of your current color?
    • bored and want something exciting?
    • ready to try red hair?
    • ready to be Blonde AF?
    • needing a correction to your current color from another salon, home color or something else?
    • ready to "go natural" and grow out your silver?
    • something else
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    • Please Select
    • 0-5 minutes
    • 5-10 minutes
    • 10-20 minutes
    • <20 minutes
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    • Please Select
    • Every 2-4 weeks
    • Every 5-7 weeks
    • Every 8-10 weeks
    • Every 3-5 months
    • Every 6-12 months
    • Something else
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  • 8
    They can show colors, lengths, styles, past photos of you, etc
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    Max. file size: 10.6MB
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  • 9
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  • 10
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  • 11
    Psoriasis, eczema, recent injuries or surgeries, etc
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  • 12
    Tender-headed, sensitive to heat/cold, do not like massages, smells, etc
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  • 13
    Fragrance, metal, chemicals, severe food allergies, nut oils, etc
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  • 14

    Hair and Medications

    Studies have shown that certain drug treatments and medications can alter the color, appearance, texture, and thickness of your hair. Some of the side effects of these drugs include making your hair curlier, induce hair loss, or change your brown to red. Furthermore, these medicines may interfere with your hair's ability to accept color applied by your stylist. The drug interaction list includes both over-the-counter and prescribed. You may be wondering if you have any of these drugs in your medicine cabinet.

    Medications ranging from skin care treatments to antidepressants or oral contraceptives and ibuprofen can influence the health of your hair. Common medications that alter your hair:

    • Acne medications including those containing retinoids or vitamin A
    • Statins
    • Blood Thinners/ Anti-Clotting medicines
    • Antibiotics
    • Oral Anti-Fungal medication
    • Progesterone-Based Contraceptives
    • Immune System Drugs
    • Breast Cancer Treatments
    • Hormone Replacement Therapy
    • Mood Stabilizers/Antidepressants
    • Steroids
    • Thyroid Medication
    • Diuretics
    • ACE Inhibitors
    • Beta Blockers
    • Psoriasis Treatments
    • Epilepsy Medication
    • Parkinson's Medicine

    This list is by no means comprehensive. However, these are some of the most widely used.

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  • 15
    Taking any medication does not disqualify you from any services.
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  • 18
    I am available Wednesdays, Thursdays and Fridays
    • Wednesday
    • Thursday
    • Friday
    • Morning
    • Midday
    • Afternoon
    • Evening
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  • 19
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  • 20
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  • 21
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