New Client Form
Personal Information
Full Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Preferences
Please upload a photo of your current hair
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Please upload the hair style that you want
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Hair Condition and History
Type of Hair
Straight
Curly
Wavy
Other
Current length of Hair
Short
Medium
Shoulder Length
Medium
Other
Hair Condition
Normal
Dry
Oily
Other
Scalp condition
Flaky
Dry
Itchy
Oily
Other
What is your daily hair routine?
Are you using any hair products/ any heat ? If yes, please list them below:
Are you currently taking any medications? If yes, please identify them below:
What’s your budget?
Have you used a permanent color or semi-permanent color before?
Yes
No
How often do you go to salon?
Please Select
Every week
Every 2 weeks
Every 3-4 weeks
Every 2 months
Every 2-6 months
Twice a year
Once a year
When is the last time you visited a salon?
What are your hair goals?
Where did you hear about us?
Facebook
Instagram
YouTube
Google Search
Other
Select a service
Cutting
Styling
Coloring
Hair Treatment
Lolita Bundle
IBE Extensions
Other
Anything else I should know about?( Including allergies)
Signature
Date Signed
-
Month
-
Day
Year
Date
Client's Signature
Continue
Continue
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