Men's Hair Consultation Form

Men Services - Hair Consultation Form
Client's Name*

First NameLast Name
Client's Phone Number*
Format: (000) 000-0000.
Client's Email Address*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Date of Birth*

MonthDayYear
Date
Do you have any known allergies/sensitivities we need to be aware of?
Hair & Scalp
Do you have a beard?*

YesNo
Hair Type:*

StraightWavyCurlyCoilyNot Sure
Hair Texture:*

FineNormalCoarse
Hair Density:*

ThinMediumThick
Scalp Conditions:

NormalDryOilyFlakySensitive
Concerns:

Hair Loss/ThinningReceding HairlineItchingOther
Styling & Routine
What styling products do you currently use? (e.g., pomade, gel, wax, hair spray, none)
How much time do you spend styling your hair daily?

No time - wash & go2-5 mins5-10 mins10+ mins
Do you receive chemical services? (e.g., color bleach, perm)
Goal & Preferences
What is your main goal today? (e.g., maintain, change, fix, looking for suggestions)
Describe your desired look or share inspo pictures (below):
Upload images of any inspiration photos you may have.

You can upload multiple files here
Cancelof
What is your desired length on the sides? (e.g., skin face, #1, #2, #3, scissor cut)
What is your desired length on top?
How do you prefer your neckline? (e.g., tapered, rounded, blocked, doesn't matter)
Experience & Maintenance
How long has it been since your last cut?
Was there something you didn't like about your last haircut?
Do you have any additional information you would like to add?
Client Signature*
Date Signed*

MonthDayYear
Date
Hour MinutesAM/PM Option
Should be Empty:

Men Services - Hair Consultation Form

Hair & Scalp

Styling & Routine

Goal & Preferences

Experience & Maintenance