Hair Salon Client Intake Form
Client's Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Client's Phone Number
Format: (000) 000-0000.
Client's Email Address
example@example.com
Pronouns
How do you style your hair?
Upload your hair inspo
Browse Files
Drag and drop files here
Choose a file
You can upload multiple files here
Cancel
of
Upload an image of your current hair
Browse Files
Drag and drop files here
Choose a file
You can upload multiple files here
Cancel
of
How often do you go to salon for hair treatment?
Every week
Every 2 weeks
Every 3-4 weeks
Every 2 months
Every 2-6 months
Twice a year
Once a year
Other
How long is your hair?
Short
Medium
Long
Other
What is the current condition of your hair?
Hair loss
Damage due to heat
Split ends
Breakage
Itchy scalp
Hair is dry
Dandruff
Other
What is the condition of your scalp?
Dry
Normal
Oily
Other
How often do you shampoo & condition?
Every day
Every other day
Twice a week
Once a week
Other
When did you get a haircut last?
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Are you open to collaborating if your desired style isn’t achievable?
What hair products are you using in your hair right now?
What tools (if any) are you using to style your hair right now? (hair dryer, hot tools, etc..)
How did you hear about us?
Facebook
Twitter
Instagram
YouTube
Online Advertisement
Google Search
Referred by a friend
Newspaper/Magazine
Other
Any things else I need to know before our appointment?
Print Form
Submit
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