Inquiry Form

Hair Inquiry Form

Please fill out fully to the best of your knowledge and ability.
Name*

First NameLast Name
Phone Number*
Email*
example@example.com
Select a salon service*

Hair ColorCurly CutCut/ ShapeHighlights
Please describe to the best of your ability what you want done to your hair:*
Please describe to the best of your ability what your hair currently looks like and has on it (color):*
Upload inspiration photos here*

You can upload multiple files here
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Upload current hair photos here*

You can upload multiple files here
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Please add any hair history for the last 2-3 years, including salon and at home color and chemical treatments;*
(Color only) What is your budget for this appointment? *
How often do you go to the salon?*

Every 3-4 weeksEvery 2 monthsEvery 2-6 monthsTwice a yearOnce a yearOther
How long is your hair?*

ShortMediumLong
How often do you wash your hair?*

Every dayEvery other dayTwice a weekOnce a week
Describe the status of your scalp.*

DryNormalOilyOther
Describe your hair by checking the options below: (You can select more than one)*

HealthyDamagedStraightWavy CurlyFineThickOther
Have you had 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.*
Please list the current hair products you're using:*
How did you hear about this salon?

FacebookTwitterInstagramYouTubeOnline AdvertisementGoogle SearchReferred by a friendNewspaper/MagazineOther
Client Signature*

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Date Signed*

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Date
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Hair Inquiry Form