New Client Hair History Questionnaire

New Client Only Questionnaire

What’s your hair history?
Client’s Name

First NameLast Name
Client's Phone Number

Area CodePhone Number
Client's Email Address
example@example.com
Occupation
Date of Birth

MonthDayYear
Date
Please upload an image of hair you like

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You can upload multiple files here Cancelof
Tell me something about your hair
Is it long, fine, thick, damaged, curly? Etc
To help me prepare for your appointment, and also record your hair journey, please upload an image of your current hair.

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You can upload multiple files here Cancelof
Do you ever treat your hair with a “mask” or similar, if so how often?

Other
How long is your hair?
Medium is on or around your shoulders
How often do you shampoo and condition your hair?

Other
What is the current condition of your hair?

Other
Have any of these been used in your hair before?

Other
When did you last visit a hair salon?

MonthDayYear
Date
When did you last apply professional or unprofessional color in your hair?
Are you currently taking any medications? If yes, please list below. If not, please leave blank.
What hair products are you currently using?
Are you interested in using professional hair care products at home if you don’t already?

Other
How did you hear about me?

Other
Any special instructions, comments, or suggestions?
Client Signature
Date Signed

MonthDayYear
Date
Should be Empty:

New Client Only Questionnaire