MOSS_HAIR_STUDIO

MOSS_HAIR_STUDIO
Comprehensive Online Hair Consultaion

Thinking of booking an appointment but not sure what for?, this is a great place to start the process. This form allows us to collect as much information as possible about your hair so we can provide the post accurate advice possible for future bookings. For some enquiries, we may still require an in salon consultation for strand/allergy testing. All of your information given is secure & stored on file in our encrypted system.
Name

First NameLast Name
Clients Email Address
example@example.com
Date Of Birth

MonthDayYear
Date
Pronouns
How would you describe your hairs volume?

AverageThinThick
How would you describe you hairs natural texture?

Very straightSlight waveWavy/curlyFrizzyCoily/Afro
How often do you go to the salon for hair services?

Every 3-4 weeksEvery 2 monthsEvery 3-6 monthsTwice a yearOnce a yearother
Do you have any of the following concerns?

Thinning hairFlaky/dry scalpSensitive scalpOily hairSplit endsHeat damageChemical damage
How often do you apply shampoo & conditioner to your hair?

Every dayEvery second dayTwice a weekOnce a weekOther
In the last 5 years please select any treatments you have had applied to your hair

Permanent colourKeratin treatmentRazor cut/ ThinningRelaxor/ Chemical straighteningHennaPermingBleaching/lighteningBox colour/ home dyeBright vivid colours
I'm hoping to have the following result/services:

Grey coverageVivid/bright colourHair colour blendingHaircutBalayageRestyle haircutBleachingHighlightsGoing darkerTotal transformationCurly cutOther
Please tell us more about what your hoping to achieve
Upload photos of your hair in good lighting. Selfies are okay, but we also need to see the back of your hair.
File Upload

Cancelof
Attach any inspiration photos of what you are hoping to achieve.
File Upload

Cancelof
Please list any products/ brands you are currently using at home
Please let us know if you have a preffered date/time frame. We will contact you for more information if needed. Please note requests will be replied to during salon opening hours only.
I can confirm that all the information indicated in this form is true and accurate and filled out to the best of my ability. Any advice given from this form is a result of the information disclosed.
Signature

Clear
Date signed

Clear
Should be Empty: