Client Consultation Form

Client Consultation Form
Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Select a salon service

Other
How long is your hair?
Please provide a brief history of your hair color over the last 3 years. Include any in salon or at home color application, lightening services, or any other chemical hair treatments:*
Please provide 2 photos of your current hair: one from the front and one parted from the side, with the regrowth clearly visible, in natural or good lighting. Please be sure to part the hair in a straight line, and pull the hair taught so I can get a clear visual of your hair history from roots to ends

See example below:
Photo from the front:

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Photo from the back:

You can upload multiple files here
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Photo from the side:

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Photo from the side:

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Please provide 1 goal photo:
Upload your goal photo here, and in the space below, please describe what you're looking to achieve.
Goal Photo:

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2nd Goal Photo:

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3rd Goal Photo:

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What do you like about the goal photos you've submitted? What are you trying to achieve? Go into as much detail as you'd like:
Have you ever experienced an allergic reaction or sensitivity to any hair chemicals or products?
Are you currently taking any medications? If yes, please list them below. If not, please put N/A. (Certain medications affect hair and the coloring process)
Please indicate the list of hair products you're currently using:
I hereby give my consent for photographs and/or videos to be taken of my hair before and after the service. I also grant permission for these images to be used in marketing materials and shared on social media platforms.
Please select an option.
Client Signature
Date Signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: