New Color Client Consultation
Full Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Which days work best for your schedule? (select all that apply)
*
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Which time frame do you prefer? (select all that apply)
*
Morning (10am-12pm)
Afternoon (12pm-3pm)
Evening (3pm-6pm)
Type of Hair Color Service
*
Creative/Vivid Color
Regrowth Retouch
All-Over Color
Dimensional Color
Color Correction
Other
Desired outcome
Please upload a photo of your current hair
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Would you mind uploading an image of the hair color you want?
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Current length of Hair
*
Above the chin
Above the shoulders
Shoulder length
Below the shoulders
I've got hella hair
Other
How often do you go to the salon?
*
Please Select
Every week
Every 2 weeks
Every 3-4 weeks
Every 2 months
Every 2-6 months
Twice a year
Once a year
When is the last time you visited a salon?
Date or any approximate weeks
Do you currently have color in your hair?
*
Yes
No
Have you ever used Box color, Henna, Splat or Sally's color in your hair?
*
Yes
No
If yes, when was the last time it was applied and what kind?
Has your hair previously been lightened?
*
Yes
No
Have you had any chemical services performed on your hair in the past year? (Perm, Relaxer, Brazillian Blow Out, etc.)
*
Yes
No
What shampoo and conditioner are you using?
Are you using any hair products? If yes, please list them below:
How did you hear about me?
Facebook
Instagram
YouTube
Google Search
Referred by a friend
Other
Any special instructions/requirements/concerns?
Date Signed
*
-
Month
-
Day
Year
Date
Client's Signature
*
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Submit
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