Studio 25 Client Intake

1
Client's Name* This field is required.
First Name
Last Name
2
Phone Number* This field is required.
Please enter a valid phone number.
3
Email* This field is required.
example@example.com
4
Age:* This field is required.
5
How did you hear about Studio 25?* This field is required.
Instagram
Facebook
Google
Referral
Other
6
Are you here for nails or locs?* This field is required.
Please Select
Please Select
Nails
Locs
7
Loc Service?* This field is required.
Please Select
Please Select
Routine Maintenance
Reconstructive or Repair
Starter Locs
Sisterlock Loc Combining
Reattachments
Extension Installs
Wicks
8
How many are being reattached?* This field is required.
1-10
Partial Head
Full head
9
Which type of locs do you have?* This field is required.
Please Select
Please Select
Traditional
Microlocs
Sisterlocks
Wicks
10
If interlocking, which point is currently being used?
Please Select
Please Select
2 point
3 point
4 point
N/A
11
Nail Service?* This field is required.
Please Select
Please Select
Fill
Overlay
Form Set
Manicure or Pedicure
Soak-off
Nail Restore Treament
12
Upload an image(s) of your current hair (front, back, sides, scalp)* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
You can upload multiple files here
Cancelof
13
Upload an image(s) of your current nails* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
You can upload multiple files here
Cancelof
14
Upload an image(s) of your nail inspiration* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
You can upload multiple files here
Cancelof
15
Upload an image(s) of your desired style* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
You can upload multiple files here
Cancelof
16
What made you decide to loc your hair?* This field is required.
17
What made you decide to combine your locs?* This field is required.
18
Which starter method are you interested in?* This field is required.
Please Select
Please Select
Two-strand
Interlocking
Coil
Braidlocks
19
Want to phase out using enhancements? (i.e. acrylic, gel builders, etc)* This field is required.
Yes
No
Thinking about it
20
Do you have busy hands? (i.e. manual labor, Nurse, frequent water exposure, cleaning, cooking, gym)* This field is required.
Yes
No
21
Are you a nail biter?* This field is required.
Yes
No
22
How long have you been loc'd?* This field is required.
23
How often do you retwist/retie?* This field is required.
4 weeks
6 weeks
2 months
Longer than 2 months
24
When was the last retwist/retie?* This field is required.
25
How often do you shampoo?* This field is required.
Once a week
Every 2 weeks
Every 3-4 weeks
Every 6 weeks
Whenever I remember (most likely over 5-6 weeks)
26
How often are you oiling?* This field is required.
Every few days
Once a week
Couple times a month
Once a month
Never
27
Do you currently use a hydration mist?* This field is required.
Yes, daily
Yes, every few days
Yes, whenever I remember
No, but I would like to
No
28
Do you color/bleach?* This field is required.
Yes
No
29
When was the last time?* This field is required.
30
Any allergies to products that you are aware of? (Aloe, Rosewater, Oils, etc)* This field is required.
31
List any concerns you have for your hair/scalp health. (Itching, flaking, tenderness, thinning, breakage, build-up, dryness, etc)* This field is required.
32
List any concerns you have for your nail health. (peeling, flaking, tenderness, thinning, breakage, splitting, dryness, etc)* This field is required.
33
What are your goals for your locs?* This field is required.
Establish a routine
Maintain Health or improve health of hair
Health and length
Embrace my natural hair
Start with a good foundation
34
Any medications or illnesses that could affect nails or hair?* This field is required.
Yes
No
N/A
35
Are you ready to implement a regimen?* This field is required.
Yes
No
I'm nervous
Should be Empty: