Your Mane Chick New Client Intake Form
Please fill this out to the best of your ability.
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
When is the last time your hair was colored and was it done professionally or by yourself/friend?
What do you like about your hair?
What do you dislike about your hair?
When is the last time you had it trimmed/cut?
How much time to you spend styling your hair?
I don't and I don't want to.
Just enough time to make it look like I tried.
I spend 10 minutes or so doing my hair.
Doing my hair is my favorite part of getting ready.
How would you rate the current condition/health of your hair?
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
How often do you wash your hair?
What best descibes your hair? Check all that apply.
Thin
Thick
Curly/Wavy
Straight
Fine
Medium
Coarse
Dull
Dry
Oily
Limp
Heavy
Breaking
Damaged
Please select all that youre looking to have done.
Darker
Lighter
Grey coverage
Foils
Balayge
Haircut
Treatment
How often are you willing to come in for maintenance? There's no wrong answer
1-2 months
3-4 months
5-6 months
6+months
Once a year
Please include some current pictures of your hair as well hair goal pictures. If you're not tech savy you can text or email your pictures to me if that's easier for you.
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How did you hear about me?
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