Japanese Head Spa Consultation Form

Japanese Head Spa Consultation Form

Your journey to inner peace and beauty begins here!
Preferred Name*

First NameLast Name
Phone Number*
Mobile/Landline
Select a Head Spa service/s*

The Sakrua Ritual - 45min $139The Kintsugi Ritual - 60min $199The Zenshin Escape - 90min $279
Optional Add-Ons

Blowdry & Styling $49Blowdry & Styling - Long/Thick Hair $69
What Day suits you best?*

Tuesday (9am - 8pm)Wednesday (9am - 5pm)Thursday (10am - 8pm)Friday (9am - 4.30pm)Saturday (8am - 1pm)
Morning, Afternoon or Evening?*

MorningAfternoonEvening
How long is your hair?*
Describe the status of your scalp*
Do you currently have Hair Extensions installed?*

YesNo
Do you have any known allergies or sensitivities we might need to know about?*
How did you hear about us?*

FacebookInstagramOnline AdvertisementGoogle SearchReferred by a friendOther
Any special instructions, comments, or suggestions?
Thanks for telling us a bit about your hair, we can't wait to start this journey with you.

Someone from our team will be in touch soon!

Please note any enquiries outside of business hours, or on Sunday, will be contacted shortly after opening the following working day.
Should be Empty: