Salon Consultation Form
Name
First Name
Last Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Select the reason for your consultation
Scalp Issues
Guidance on Styling
Haircut Guidance (taking info to another salon)
Sleep and/or Refresh Guidance
Product use Guidance
Other
What do you do for work?
*
Are you on any medications?
*
Do you have any topical allergies?
*
Are you currently pregnant or given birth in the last 2 years?
*
When was your last haircut? Did you like it? If yes, explain what you liked! If no, explain what you didn’t like.
*
When was the last time you colored your hair? (last 5 years, please go into detail)
*
Have you chemically altered your hair in any other way in the last 5 years? ex: Brazilian Blowout, Keratin Treatment, Perm, etc..
*
How often do you shampoo?
*
What products are you currently using? If you purchased Innersense, what products were you using prior?
*
How would you describe your hair? Be specific and think about it in all the different sections.
*
Please walk me through your current curly hair routine in detail from before you jump in the shower until you're out and its completely dry.
*
How is your relationship with your hair?
*
What are you goals with your hair?
*
What's your favorite thing about your hair?
*
What are your frustrations?
*
How much time are you willing to spend on your hair?
*
How do you sleep on your hair?
*
Do you refresh in between washes, if so how?
*
Do you have hard water or live on a well?
*
Do you have a hairstylist you go to now that you like and trust?
*
Please upload photos of your current hair situation. Front, back, and each side.
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Any inspiration photos you have please drop here.
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Is there anything else you think I need to know about your hair, scalp, or lifestyle?
How often do you go to salon?
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?
Short
Medium
Long
Kindly describe the status of your scalp.
Dry
Normal
Oily
Other
Describe your hair by checking the options below: (You can select more than one)
Healthy
Damaged
Straight
Wavy Curly
Fine
Thick
Other
Do you have any hair loss problems in the past?
Are you currently taking any medications? If yes, please list them below. If not, please put N/A.
How did you hear about this salon?
Facebook
Twitter
Instagram
YouTube
Online Advertisement
Google Search
Referred by a friend
Newspaper/Magazine
Other
Client Signature
Date Signed
-
Month
-
Day
Year
Date
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