Grey Blending Consultation Intake Form
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
What city are you traveling from to see me?
Email Address
*
example@example.com
How did you find me?
*
Google
Chat GBT or AI
Yelp
Friend
Instagram
Nextdoor
What is your social media handle if applicable?
Are you currently covering your grey if so what are you using?
*
Home Box Color (name)
Salon Permanent Color
Salon Demi Color
Henna or Indigo
How do you feel about your grey hair?
*
Hate it, want it fully covered
Ready to see a little
Ready to embrace it
Not sure
What is your future goal for your hair maintenance?
*
4-6 weeks
7-10 weeks
11-16 weeks
6 months
Stop coloring my hair
If you decide to embrace blending your grey or transitioning, it you understand that this is a journey that can take anywhere from 9-12 12-18 18-24 months?
*
Are you open to cutting your hair a significant amount if needed?
What is your biggest frustration with your hair?
Do you have any allergies (tested by a Dr.) Scalp sensitivity or chemical concerns I should know about?
*
Please provide current photos of your hair, natural light so I can see outgrowth, length and front
*
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Please include any photos of hair that you would like to have
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