Hair Consultation Form
Tell Us About Yourself!
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
E-mail
*
Birthday
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January
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Month
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Day
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2024
2023
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Year
Services
We have a wide array of services to suit all of your needs. Please select the services you are interested in.
Design Services
*
Consultation
Blowout
Conditioning Treatment
Women’s Haircut
Men’s Haircut
Up-do/Down-do
Color Services
*
All Over Color
Highlights/Lowlights
Balayage/Ombre'
First Time Color
Corrective Color
Texture Services
*
Regular Perm
Spiral Wave
Keratin Treatment
Maintamer
Submit
Next
Tell us about your hair
so we know exactly how to treat it!
Current Length
*
Short (chin length and above)
Medium (shoulder length)
Long (passed shoulders)
Extra Long (passed bra strap)
Texture
*
Straight
Wavy
Curly
Ethnic
Thickness
*
Thin
Medium
Thick
Check All That Apply
*
Volume
Control Dry Scalp
Increase Texture
Repair Chemical Damage
Add Shine
Frizz Control
Enhance Smoothness
Control Curls
Back
Next
Tell Us More About Your Hair
Has your hair been colored in the last year?
*
Yes
No
If yes, what process was used?
*
All over color
Highlights
Highlight/Lowlight
Balayage/Ombre'
When was the last time you had a color service? (approximate)
*
-
Month
-
Day
Year
Date
Do you typically have your hair colored by a professional?
*
Yes
No
Occasionally
Is your hair permed or relaxed?
*
Yes
No
If yes, when was the last time you had a texture service? (approximate)
*
-
Month
-
Day
Year
Date
What challenges do you currently have (or had) with your hair?
*
What is your goal for this appointment?
*
Some medications affect hair color. Please be sure to discuss this with your service provider.
Back
Next
Your Hair Routine
Tell us what you typically do to your hair.
How long do you spend on your hair in the morning?
*
How often do you shampoo your hair?
*
Everyday
Every Other Day
Twice a Week
Once a Week
Would you like your stylist to complete a prescription based on your needs?
*
Yes
No
Maybe
Would you like your stylist to teach you how you can achieve your style at home?
*
Yes
No
Maybe
Other
If you don't mind, please let us know why you left your previous stylist/salon?
*
Please do not include the stylist or business name.
What does your daily hair product regimen consist of?
*
We have a selection of Professional Salon Brand products. Have you tried any of these before? (select all that apply)
*
davines
amika:
Joico
Neuro by Paul Mitchell
Marula Oil by Paul Mitchell
If you have a photo of inspiration, please upload here!
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