Hair Color/ Extension Consultation Form
Select a hair service
Highlights
Balayage
color transformation
color correction
Hair extensions
not sure
Other
Client's Name
First Name
Last Name
Client's Phone Number
-
Area Code
Phone Number
Client's Email Address
example@example.com
Date of Birth
-
Month
-
Day
Year
Date
Please give your best description of your hair history in the last 3 years. This includes past hair colors, keratin treatments/ Brazilian blowouts, extension history.
Please give your best description of what you would like to achieve with your hair appointment.
Please Upload an image of your current hair preferably in direct sunlight. Don’t be shy! These are so I know what to expect before you come in and can give the most accurate price estimate.
Browse Files
You can upload multiple files here
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Upload inspiration photos that you may have saved or possibly saw that inspired you to want to get your hair done.
Browse Files
You can upload multiple files here
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How often are you willing to come in to the salon for maintenance?
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 (above the shoulder)
Medium(shoulder length)
Long (bra strap length or longer )
Kindly describe the status of your scalp.
Please Select
Dry
Normal
Oily
Not sure
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
Dryness
Dandruff
Other
Have you had experience with having extensions in your hair before ? If so what kind?
Sew in weft
Keratin bonds (ktips)
I-Tips
Tape ins
Other
Do you currently have any extensions in your hair ? If so what kind and please explain comments and concerns as to why you do / or don’t like them.
If you are inquiring about getting new hair extensions, what kind are you looking to get? If you’re not sure then select ‘not sure’.
Sew in weft
K-tips
Tape ins
Not sure
When did you last visit a hair salon?
-
Month
-
Day
Year
Date
When did you last apply professional or unprofessional color in your hair?
Do you have any hair loss problems in the past?
Please indicate the list of hair products you're currently using:
How did you hear about us?
Facebook
Twitter
Instagram
YouTube
Online Advertisement
Google Search
Referred by a friend
Other
Any special instructions, comments, or suggestions?
Client Signature
Date Signed
-
Month
-
Day
Year
Date
Submit
Submit
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