Nanoplasty Questionare (New Client)

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

How did you hear about my salon?

How long is your hair? Please refer to the image below?

What best describes your hair texture? (Check all that apply)

What is the current condition of your Hair/Scalp? (Check all that apply)

How often do you wash your hair?

What Shampoo & Conditioner are you currently using?

Do you generally Blowave your hair?

Do you use Flat Irons?

If so how many times per week?

Do you have any known allergies/reactions to anything including chemicals/hairdyes?

If yes please describe below;

Have you had a Nanoplasty Treatment before?

Have you had a Keratin or Chemical Straightening before?

If yes which one and how long ago was your last treatment?

What are you hoping to achieve from your Nanoplasty Treatment?

Please give a brief hair history summary;

Please upload some clear images of your current hair. Preferably from the front and the back

Anything else you’d like me to know? Or do you have any questions!

Social Media Consent 📸 I love sharing my work on Instagram, but only ever with your permission — this is completely optional and won’t affect your booking either way. Please select the option you’re most comfortable with:

You’re welcome to change your mind at any time — just let me know! Whatever you choose is totally fine with me. 🌸