New Client Form
Select a hair service - check all that apply
Haircut
Color Correction
Shampoo & Style
Children’s Haircut (under 10)
Lived in Blonde
Grey coverage
Formal Style (Special Occassion)
Transformation
Highlights
Smoothing Treatment
Conditioning Treatment
Hair Color (Permanent)
Other
Client's Name
First Name
Last Name
Client's Phone Number
Client's Email Address
example@example.com
Date of Birth
-
Month
-
Day
Year
Date
What hair style do you like?
Upload an image of your hair goal
Browse Files
Drag and drop files here
Choose a file
You can upload multiple files here
Cancel
of
Tell us something about your hair color history (if looking to book a color appointment)
Upload an image of your current hair
Browse Files
Drag and drop files here
Choose a file
You can upload multiple files here
Cancel
of
How often do you go to salon for hair treatment?
Every week
Every 2 weeks
Every 3-4 weeks
Every 2 months
Every 2-6 months
Twice a year
Once a year
Other
How long is your hair?
Please Select
Short
Medium
Long
What is the density of your hair?
Please Select
Thin
Medium
Thick
Extra Thick
How often do you apply shampoo and conditioner in your hair?
Every day
Every other day
Twice a week
Once a week
Other
What is the current condition of your hair?
Hair loss
Damage due to heat
Split ends
Breakage
Itchy scalp
Hair is dry
Dandruff
Other
Have you used the following in your hair before?
Permanent hair color
Keratin Treatment
Razor cut/Thinning
Relaxer
Henna
When did you last visit a hair salon?
-
Month
-
Day
Year
Date
Is there a specific stylist you are looking to book with?
Does your schedule require you to book on specific days or times?
How did you hear about us?
Facebook
Scout Guide
Instagram
Google Search
Referred by a friend
Newspaper/Magazine
Online Advertisement
Other
Any special instructions, comments, or suggestions?
Client Signature
Date Signed
-
Month
-
Day
Year
Date
Print Form
Submit
Submit
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