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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
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Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
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Belgium
Belize
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Bermuda
Bhutan
Bolivia
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Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
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Tanzania
Thailand
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Tokelau
Tonga
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Emergency Contact
Name
Phone Number
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Birthday
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7
Your Instagram Handle
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8
How did you hear about me?
Referral from friend or family
Through finding Nové
Instagram
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Tell me more about how you found me
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10
What is the name of the client that referred you to me?
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Would you prefer to have a quiet appointment today?
This would include minimal conversation and allow plenty of time for you to work or relax if that's how you'd like to spend your visit
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NO
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What digital resources have you already checked out?
My Website
Nové's Website
My Instagram
Nové's Instagram
Facebook
Google
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13
Describe what you'd like to achieve during your visit today:
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What hair services are you considering for the future?
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What products are you currently using for shampooing and conditioning at home?
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16
What products are you currently using for styling at home?
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17
What are some of your primary hair concerns?
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Which of the following have you experienced in the last year?
Thinning
Dry hair
Breakage
Greasy hair
Split ends
Flakey scalp
Scalp irritation / burning
Inconsistent curl patterns
Frizz
Lack of volume
Damage
Other
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Have you ever colored your hair at home?
Yes, in the last 90 days
Yes, in the last 6 months
Yes, in the last year
Yes, over a year ago
Years ago or never
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Have you had any adverse skin reactions to hair color in the past?
Itching, burning, irritation, allergy-like reactions during, shortly after, or more than 24hrs after a color service
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NO
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21
Do have any food or skin allergies?
Let me know if I need to steer clear of certain products during your visit!
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NO
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22
Have you ever had a haircut you weren't happy with?
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23
Have you ever had a color service you weren't happy with?
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24
Why did you leave your last hairstylist?
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25
How often do you prefer to come in to the salon?
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26
What is your anticipated budget for today?
Less than $100
Less than $150
Less than $200
Less than $250
Less than $300
Less than $350
Less than $400
$400+
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27
Please list any allergies here
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28
Please describe your experience with an adverse reaction to hair color
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