Colour Pre Consultation Form

1
Email* This field is required.
example@example.com
2
First & Last Name* This field is required.
First Name
Last Name
3
Do you have a preferred name?
4
Mobile Number* This field is required.
Please enter a valid phone number.
5
What is your desired hair colour outcome?* This field is required.
Lighter (Highlights / Balayage)
Lighter (Complete Global Blonde)
Darker
Maintain Current Colour (Root Touch Up/Gloss)
Vibrant / Fashion Colour
Grey Coverage
Change Colour / Colour Correction
6
Do you require a haircut at the same time as your colour?* This field is required.
Yes
No
7
What is your hair type?
Straight
Wavy
Curly
Kinky
8
How would you rate the current condition of your hair* This field is required.
1
2
3
4
5
9
Do you have any red heads in your genetics?* This field is required.
Yes
No
10
How would you describe your general health?* This field is required.
Excellent
Very Good
Good
Fair
Poor
Other
11
Are you taking any medications? If yes, please list them
12
Do you have any allergies?* This field is required.
Yes
No
13
If yes, please specify your allergies
14
Are you allergic to any hair products or dyes? If yes, please list them* This field is required.
15
Have you had any chemical services (Colour, Perm, Relaxer, Keratin, Nanoplasty, Henna) on your hair in the last 12 months? If yes, please specify* This field is required.
16
When was you last colour service?
Date
Day
Month
Year
17
Do you have any concerns about your hair health?* This field is required.
Colour Fade
Dry Damaged
Frizz
Dull
Lacking Volume
No Concerns With My Hair
Other
18
Do you have any scalp concerns?* This field is required.
Dry
Dandruff
Itchy
Sensitive
Oily
Hairloss
No Scalp Concerns
Other
19
How often do you shampoo?* This field is required.
Daily
2-3 Days
3-4 Days
Weekly
Rarely
Never
20
Hair Exposure* This field is required.
Daily
Weekly
Rarely
Never
Sun Exposure
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Salt or Chlorine
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Thermal Styling (eg: Straightening)
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Sun Exposure
Salt or Chlorine
Thermal Styling (eg: Straightening)
Daily
Row 0, Column 0
Weekly
Row 0, Column 1
Rarely
Row 0, Column 2
Never
Row 0, Column 3
Daily
Row 1, Column 0
Weekly
Row 1, Column 1
Rarely
Row 1, Column 2
Never
Row 1, Column 3
Daily
Row 2, Column 0
Weekly
Row 2, Column 1
Rarely
Row 2, Column 2
Never
Row 2, Column 3
1 of 3
21
What is your preferred maintenance level for your hair colour?* This field is required.
Low Maintenance (every 8-12 weeks)
Medium Maintenance (every 6-8 weeks)
High Maintenance (every 3-5 weeks)
22
Please upload a photo of your current hair. Photos should be taken in natural daylight and include the front, back and sides of your hair.* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Browse Files
Cancelof
23
Please upload up to 3 photos of your desired hair colour inspiration. No AI generated images please. * This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Browse Files
Cancelof
24
Colour appointments are available Wednesday - Friday. Please let us know 3 dates and preferred times. * This field is required.
25
Please allow up to 7 business days for us to review your submission.

Once reviewed you will then receive a text or call with next steps.

Thank you for your colour enquiry.

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