• Natural Hair Consultation Form

    Complete this form before your appointment to help us understand your hair history, routine, and goals.
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  • Hair History

  • How would you describe your hair currently?*
  • How would you describe your scalp currently?*
  • Have you experienced any major hair changes within the last 12 months?*
  • Have you experienced postpartum shedding, stress-related shedding, hormonal changes, or recent illness?*

  • Current Hair Routine

  • How often do you wash your hair?*
  • Do you currently deep condition your hair?*
  • Do you wear protective styles regularly?*
  • Do you sleep with hair protection?*

  • Heat / Colour / Chemical History

  • Do you use heat on your hair?*
  • What type of heat do you use?*
  • Have you coloured your hair within the last 2 years?*
  • If yes, which?
  • Have you chemically treated your hair?*
  • Are you transitioning from chemical treatments to natural hair?*

  • Scalp & Medical Concerns

  • Are you currently experiencing any scalp concerns?*
  • Have you ever been diagnosed with a scalp or hair condition?*
  • Are you currently taking any medications that may affect hair growth or shedding?*
  • Do you have any allergies or sensitivities to ingredients, products, or fragrances?*

  • Lifestyle & Wellness

  • How much water do you drink daily?*
  • How would you rate your stress levels?*
  • Do you currently take vitamins or supplements for hair, skin, or nails?*
  • How would you describe your diet?*

  • Hair Goals

  • What are your top 3 hair goals?*

  • Photos (Mandatory For Virtual Consultations Only)

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  • Consultation Agreement

  • I understand this consultation is educational and cosmetic in nature.

    I understand recommendations provided are not medical advice.

    I understand results vary based on consistency, lifestyle, and overall hair care practices.

    I understand that this consultation is intended for educational, cosmetic, and hair care guidance purposes only.

    I understand that no medical diagnosis or medical treatment will be provided during this consultation.

    I understand that recommendations are based on the information I provide and professional observations made during the appointment.

    I understand that results are not guaranteed and may vary based on consistency, lifestyle, health conditions, product usage, and home care practices.

    I acknowledge that I am responsible for disclosing any known allergies, sensitivities, scalp conditions, medications, or medical concerns that may affect my hair or scalp health.

    I understand that severe scalp conditions, excessive hair loss, or medical concerns may require referral to a licensed physician, dermatologist, or trichologist.

    I agree that the consultant/stylist is not liable for allergic reactions, sensitivities, or outcomes related to recommended products, treatments, or services.

    I consent to receiving personalized hair care recommendations, routines, and product suggestions during and after the consultation.

    I understand that the consultation fee is non-refundable once services have been rendered.


  • Client Acknowledgement and Signature

    By signing below, I confirm that the information provided is accurate to the best of my knowledge and that I have read and agreed to the waiver above.
  • Date*
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