RK Hair Care Consultation Form
The primary aim to enhance the appearance and style of hair. (Cutting, Coloring, and styling, etc.)
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
How Did You Hear About Our Salon?
Type a question
Facebook
Another Client
Instagram
Internet Search
Word of Mouth
Yelp
Other
Upload A Recent *Clear* Photo of Your Hair In its *Unstyled*, Natural State
(Note Below)
File Upload
Browse Files
Drag and drop files here
Choose a file
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of
Desired Style/s
Color (all over)
Press & Curl
Curly Cut
Trim
Two-Strand Twist
Flat Iron
Color ( 1/2 head )
Cut / Shape
Highlights
Deep Condition Treatment
Twist - Out
Wash / Blow-Out & Go
Flat Twist
Your Most Worn Styles
Braids
Protective Styles
Locs
Straight / Flat - Ironed
Wavy/Curly/Wash & Go
Extensions
Puff/Bun/Ponytail
Twist / 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 Analysis
Steam Treatment
Red/Blue Light Therapy
Consultation
Restorative Multiplier Treatment
Norshisment Multiplier Treatment
Chemicals Used in the Last Year
None
Texturizer
Relaxer
Keratin Treatment
Permanent Color
Semi-Permanent Color / Rinse
Have you use Henna on your Hair in the last 2 years?
Yes
No
Upload a photo of Your Desired Style / Look for Your Appointment
Browse Files
Drag and drop files here
Choose a file
Cancel
of
What Was the Last Time Your Hair was Straightened?
Additional Information
Goals
Manageability - You want it easier to maintain your hair
Moisture - Your hair tends to be and look dry
Strength - You experience hair breakage and want it to stop
Volume - You want your hair to look fuller
Growth - You want your hair to retain the growth
Color - You want to spice it up
Maintain - You like what you're doing enough to not want to change much
Current Conditions
Split Ends
Heat Damage
Hair Loss
Frizz
Itchy Scalp
Breakage
Dry Hair
Dandruff
In Transition
Healthy Hair
Cleansing and Conditioning Frequency
Do You Co-Wash or Not Use Shampoo?
Yes
No
If You Don't "Shampoo", Why Not?
How Many Products Do You Use for Styling?
Additional Comments
My Products
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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
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
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