Color Survey

Curly Color Survey:
Hi there, I’m so excited you’re here!

Please take a few moments to complete this survey so I can learn more about your hair, color history, goals, and overall needs to ensure I’m the right stylist for you.

Your information will always be kept confidential. Once your survey is submitted, I’ll follow up by email with the next steps.

A few things to note before you begin:
• New guest appointments are available through 3 PM only.
• Please upload clear, current photos of your hair so I can properly assess your curl pattern, texture, density, length, and current color.
• The more detailed your answers are, the better I can prepare for your appointment and help create a realistic plan for your hair goals.

Thank you again, and I look forward to working with you!
Full Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about me?
If referral, by whom?
How would you describe the density (how many hairs are on your head) of your hair?
How would you describe the health and condition of your hair?

Other
Your last color was done:
If you have color treated hair, was your last color done at home or by a professional?
What was your most recent hair color service? (Permanent color, semi- permanent color, vivid color, highlights, lowlights, box dye, etc...)
What are your primary hair goals when it comes to color?
Do you have any concerns about coloring your hair?
What shampoo, conditioner, and styling products you’re currently using?
Is there anything else I should know about you or your curls?
Date you hope to get in on/by

MonthDayYear
Date
Ideal time of day for your appointment (select all that apply)
Add a full headshot photo of your hair freshly styled as you would typically wear it. Photo from the FRONT, example above!

Cancelof
Add a full headshot photo of your hair freshly styled as you would typically wear it. Photo from the BACK, example above!

Cancelof
I understand that this consultation intake form is for Jolene to determine if she’s the right stylist for my needs and does not guarantee an appointment. I acknowledge that the current wait time for new guest services is approximately 3–6 weeks. I agree that my first appointment requires a security of $150.
I understand that the salon has a strict 48 hour cancellation policy and if I do cancel my appointment with less than 48 hours notice my deposit will not be refunded.
Signature
Should be Empty:

Curly Color Survey: