Client Intake Form
Leah the Stylist
Hi there! My name is Leah and I’m a hairstylist at Salon D’Amore. I am so excited to be a part of your extension journey. The first step in that journey is for us to get to know each other a little better. The more information I have about you — your lifestyle, scalp health, home care routine, hair goals, etc. — the better I’ll be able to meet (and exceed!) your expectations. The more you know about my process — onboarding, policies, expectations, the less overwhelming (and stressful) the consultation will be. This process should take about 20 minutes in total — so be sure that you have dedicated time to dive in before starting. I always strive to make working with me low pressure — so if you need to come back at a later time please don’t feel pressured to get started right away. After all, getting your hair done should be a pleasant experience! Paperwork might not be, but I promise to keep it at a minimum — it will be worth it!
Your Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
How would you like to be contacted?
*
Text
Email
Are you wearing extensions currently?
*
Yes, I am.
Yes, but they will be taken out prior to consulting with you.
No, but I’ve worn them before.
No, and I’ve never had them before.
How many rows are you wearing (or if you’re not wearing currently, how many rows did you wear previously? If you’ve worn different amounts of rows go with the option you wore for the longest period of time).
*
1 row.
2 rows.
3 rows.
4+ rows.
I’ve never had extensions.
I’ve worn a different type of extensions (fusions, itips, etc).
What has your experience with extensions been like? Have you had any bad experiences? If so, can you describe why it was negative? If the experiences were positive, would you please detail what you enjoyed?
*
Extensions are a luxury investment — what is your beauty budget so that I can recommend the best customized solution for you?
*
Under $1000
A max of $1500-$3000
Between $3000-$5000
Whatever it takes for my dream hair!
Extensions require frequent maintenance — how often are you comfortable coming in?
*
Every 5-6 weeks
Every 7-8 weeks
Every 3 months
I’m looking for a more temporary solution.
Whatever you recommend!
Extensions are very detailed service. How much time are you comfortable spending in the salon for maintenance appointments?
*
2 hours or less
3-4 hours max
4-5 hours max
6-7 hours max
However much time you need!
Your at-home routine is going to change with extensions — how much time are you willing to dedicate to caring for them?
*
I don’t want to add any extra time.
I can dedicate a little more time (15 mins max).
I can dedicate more time (30-45 mins max).
I can dedicate a lot more time (over an hour).
I can dedicate whatever time you tell me to!
To love your extensions you also need to love your hair color! What best represents how you feel about your color currently?
*
I love it! I don’t need anything changed.
It’s damaged, but I like the color.
It’s damaged, but I want it lighter.
It’s damaged, but I want to go darker.
It’s okay. I think I could use an update.
I don’t like it and I want a big change.
I hate it! I want a total transformation.
It’s a mess and I need a color correction.
Please upload three images of your current hair: 1 from the front (please include your face), 1 from the side and 1 from the back. in listing a helper is a recommended for the back of the head photo. These photos must be taken in indirect light (think of in your house near a window, but without the sun rays hitting you). **Please do not send in old photos, photos with filters/editing, or photos, indirect sun or in fluorescent/bathroom lighting.**
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload a picture of your dream hair.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
How often do you wear your hair up in a ponytail/bun/braid/up style?
*
Every day
Every other day
A couple times a week
Once a week
Just a couple times a month
How often do you wash your hair?
*
Every day
Every 2-3 days
Every 4-7 days
Every 8-10 days
11+ days
Does your scalp ever get irritated?
*
Yes! It’s itchy or burn-y all the time.
Yes! It gets itchy or burn-y sometimes.
No, never
Have you ever suffered from dandruff, eczema, folliculitis, or psoriasis? If so, please list everything that applies. Please also detail when these issues occurred (or if they are current).
*
*If you haven’t had any of these issues, please type N/A in the box above.
Have you noticed any change in the density of your hair or the amount of hair you are shedding? If so, please list when these changes started and if they are ongoing or have stopped.
*
How did you hear about me?
*
Facebook
Instagram
Google Search
Referred by a client/friend
Online advertisement
Other
If you were referred by someone specifically, please list their name below:
Is there anything you want to share with me that we did not cover?
*
*
I confirm that all information indicated in this form is true and accurate.
By signing below, I agree to the terms and conditions of the hairstylist’s policies.
Client’s Signature
*
Date Signed
*
-
Month
-
Day
Year
Date
Continue
Continue
Should be Empty: