RK Hair Care Consultation Form

RK Hair Care Consultation Form

The primary aim to enhance the appearance and style of hair. (Cutting, Coloring, and styling, etc.)
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
How Did You Hear About Our Salon?
FacebookAnother ClientInstagramInternet SearchWord of MouthYelpOther
Upload A Recent *Clear* Photo of Your Hair In its *Unstyled*, Natural State

(Note Below)
File Upload

Cancelof
Desired Style/s

Color (all over)Press & CurlCurly CutTrimTwo-Strand TwistFlat IronColor ( 1/2 head )Cut / ShapeHighlightsDeep Condition TreatmentTwist - OutWash / Blow-Out & GoFlat Twist
Your Most Worn Styles

BraidsProtective StylesLocsStraight / Flat - IronedWavy/Curly/Wash & GoExtensionsPuff/Bun/PonytailTwist / Braid-Outs
Trichology Services ****( Please Note )***

Trichology Services require separate forms and a consultation. There is a COST differential. Hair Care Services and Trichology Services are NOT the same services. If these services are selected, YOU will receive a new set of forms tailored for Trichology ONLY.
Trichology Services

Hair Mineral AnalysisSteam TreatmentRed/Blue Light TherapyConsultationRestorative Multiplier TreatmentNorshisment Multiplier Treatment
Chemicals Used in the Last Year

NoneTexturizerRelaxerKeratin TreatmentPermanent ColorSemi-Permanent Color / Rinse
YesNo
Upload a photo of Your Desired Style / Look for Your Appointment

Cancelof
What Was the Last Time Your Hair was Straightened?
Additional Information
Goals

Manageability - You want it easier to maintain your hairMoisture - Your hair tends to be and look dryStrength - You experience hair breakage and want it to stopVolume - You want your hair to look fullerGrowth - You want your hair to retain the growthColor - You want to spice it upMaintain - You like what you're doing enough to not want to change much
Current Conditions

Split EndsHeat DamageHair LossFrizzItchy ScalpBreakageDry HairDandruffIn TransitionHealthy Hair
Cleansing and Conditioning Frequency
YesNo
If You Don't "Shampoo", Why Not?
How Many Products Do You Use for Styling?
Additional Comments

My Products

Appointment Deposit

To ensure a seamless and personalized experience, all first-time clients are required to place a nonrefundable deposit to reserve their appointment. This policy reflects our commitment to preparing each service with the utmost care and intention. The deposit will be applied toward the total cost of your scheduled service on the day of your visit. As a trusted provider of professional hair care and salon excellence, we value your time and ours equally. Thank you for honoring this standard, which allows us to maintain the quality and consistency you deserve.

$50.00

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Cash App Pay

Should be Empty:

RK Hair Care Consultation Form

Upload A Recent Clear Photo of Your Hair In its Unstyled, Natural State

Trichology Services **( Please Note )*

Additional Information

Payment Methods

RK Hair Care Consultation Form

Upload A Recent *Clear* Photo of Your Hair In its *Unstyled*, Natural State

Trichology Services ****( Please Note )***

Additional Information

Payment Methods

Upload A Recent Clear Photo of Your Hair In its Unstyled, Natural State

Trichology Services **( Please Note )*