Hair Color Consultation Form
Please fill out the form below, and I'll reach out to you to let you know which appointment to book for.
Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please upload an image of the hair color/and or cut you want
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
What do you like about the color/and or cut?
*
Please upload a photo of your current hair
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
What do you not like about your current hair? If you like your current hair, please type "NA".
*
Type of Hair
*
Straight
Curly
Wavy
Other
Current length of Hair
*
Short
Medium
Shoulder Length
Medium
Other
Hair Condition
*
Normal
Dry
Oily
Other
Scalp condition
*
Flaky
Dry
Itchy
Oily
Other
How often do you go to the salon?
*
Please Select
Every week
Every 2 weeks
Every 3-4 weeks
Every 2 months
Every 2-6 months
Twice a year
Once a year
When is the last time you visited a salon?
*
Date or any approximate weeks
How often do you change the color of your hair?
*
Every month/Every 2 months/Quarterly/Yearly
Have you used a permanent color before?
*
Yes
No
Unsure
Have you used a semi-permanent color before?
*
Yes
No
Unsure
What shampoo and conditioner are you using?
Are you using any hair products? If yes, please list them below:
Any special instructions, comments, or concerns?
Where did you hear about me?
Instagram
Google Search
Facebook
Referred by a friend
Other
Client's Signature
Submit
Submit
Should be Empty: