Colour Consultation Form
Please fill out as much information as you can prior to your in salon consultation appointment, thank you!💕 Once filled please DM me to book in person consultation.
Client's Name
First Name
Last Name
Date of Birth
 -
Day
 -
Month
Year
Date
Phone Number
Format: (000) 000-0000.
Client's Email Address
example@example.com
Upload an image of your current hair
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of
Please upload an image of the hair that you want or your inspiration
Browse Files
Drag and drop files here
Choose a file
You can upload multiple files here
Cancel
of
What is the condition of your scalp/hair?
Dry
Normal
Oily
Oily scalp/dry ends
Hair Breakage due to over colouring/heat
Other
Have you use the following in your hair in the past 12 months?
Permanent hair color (salon)
Keratin Treatment
Home box colour
Home box bleach
Henna
None of the above
When did you last apply professional or unprofessional color on your hair?
Please tell me what you would like done to your hair?
How soon are you wanting an appointment?
Are you wanting extensions?
In the last 6 months have you been pregnant/ or are currently pregnant?
Yes
No
In the last 6 months have you had cancer or undergone any cancer treatment?
Yes
No
Have you been taking any new/or in the past 6 months medication? (This includes the weight loss jab / hormone treatment)
Yes
No
If yes, please state below
Would you be happy to be filmed for social media content. (consultation reels/ hair process reels/ photos of hair)
Yes
No
Client's Signature
Date Signed
 -
Day
 -
Month
Year
Date
Please DM me on instagram or Facebook to book in person consultation. Enquiries will not be answered otherwise 🩷
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