Client Consultation Form
Name
First Name
Last Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Select a salon service
root touch up
all over color
haircut and style
mini partial highlight
hair trim
partial highlight
wash and style
full highlight
lowlights
extension install
extension consultation
hair color consultation
basic updo
bridal updo
wedding/formal consultation
hair conditioning treatment
color remover
makeup application
Other
Select an appointment
What hair style or hair color are you wanting to achieve?
Upload an image of the hair style/ hair color you prefer or like
Browse Files
Drag and drop files here
Choose a file
You can upload multiple files here
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of
Any special instructions or concerns?
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
How often do you apply shampoo in your hair?
Every day
Every other day
Twice a week
Once a week
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
When did you last apply professional or unprofessional color in your hair?
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.
Please indicate the list of hair products you're currently using:
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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