New Client Intake Form
Artistry by Kristy
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Occupation
What is your natural hair type?
*
Straight
Wavy
Curly
Coily
How would you describe the density of your hair?
Fine
Medium
Thick
How would you describe your scalp?
*
Dry
Normal
Oily
What is your current hair length?
*
Short
Shoulder Length
Mid Back
Lower Back
Does your hair currently have a permanent chemical treatment? (ie: relaxer, perm)
*
No
Yes
How would you describe your hair?
Healthy
Slightly Damaged
Damaged
How often do you shampoo and condition your hair?
Daily
Every other day
Weekly
Bi-weekly
Monthly
What hair products/brands are you using?
What are your long term hair goals?
*
Have you ever had your hair colored before? If so, when and provide any other details.
*
Please mention if it was done at home or by a professional
Please list any more hair history you would like to be noted.
*
Are you sensitive or have you suffered from a reaction from any hair/scalp treatments or chemicals?
*
Yes
No
If yes please list here:
What is your stress level on a scale of 1-10?
Please upload 2-3 photos of your natural hair in natural lighting (in regular state - no updos) & Inspo photos
*
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