Meghan Curly Hair Consultation Form
Name
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Last Name
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Date of Birth
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Month
-
Day
Year
Date
Pronouns
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Email
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example@example.com
How did you hear about us?
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Social Media
Online Search
Referral
Other
If referral, please list name:
Instagram
We would love to follow you!
Medical History
Please list any known allergies:
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Write 'None' if you have none
Please list any current medications that may effect the coloring process. (This information remains private.)
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Write 'None' if you have none
Are you pregnant or taking prenatal vitamins?
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Yes
No
Have you ever experienced sensitivity to lightener?
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Yes
No
If yes, please explain:
Have you ever experienced hair loss, thinning, breakage or bald spots?
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Yes
No
If yes, please explain:
Your Hair Profile
What services are you looking to book with me?
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Curly Haircut
All-Over Color
Bayalage/Blonding
Vivid Hair Color
Deep Conditioning Steam Treatment
What are your hair goals?
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Tell me about your overall experience in the salon having curly hair.
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How often do you straighten your hair?
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Daily
Every other day
Weekly
Once a month
Special occasions
Never
Have you ever relaxed your hair or used Brazilian blowouts?
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If so How many times in the 3 years?
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1
2
3
4
Many times and consistently.
Do you know if you have high or low porosity curls? *Porosity is hairs ability to absorb water or product. If your hair feels dry immediately after showering you have low porosity.
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How would you describe your curls?
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Zig Zag
Coily (Tight curls)
Curly (Soft but full curl)
Wavy, holds curl well
How thick would you describe your hair as?
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Very thick
Thick
Average
Not so thick
How long does it take you to detangle your hair?
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Just a couple mins
10-15 min
20-35 min
An hour
DAYS...
Please describe your detangling process.
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What products are you using at home?
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What are your hair care challenges?
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No volume
Too much volume
Too thick
Too thin
Oily
Breakage
Dryness
Frizziness
Curl Management
What are you trying to achieve with your style?
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Volume
More Curls
Better Shape
Grow Out Length
What do you wish your hair did more of?
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Preferred average visits to the salon:
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Every 2-4 Weeks
Every 6-8 Weeks
Every 2-3 months
Every 4-6 months
Once a year
How much time do you spend styling your hair after you wash it?
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Less than 15 mintues
Up to 30 minutes
Up to 45 minutes
More than an hour
What is your home styling comfort level?
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Very comfortable
Comfortable
Uncomfortable
I want some tips!
Please describe the condition of your scalp health:
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I have flaking and dryness and I don't know how to get rid of it.
My scalp is healthy and happy and I have no irritation!
How often are you coming to the salon for treatments?
I've never gone for consistent treatments
I've only been a few times to a professional
I go often
Are you willing to come in for regular treatments for your hair if needed?
Yes
No
Please upload a CURRENT picture of the FRONT of your hair. Hair down, bright light, clean please:
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Please upload a CURRENT picture of the BACK of your hair. Hair down, bright light, clean please:
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Please upload an inspiration photo or two of how you would love for your hair to look! Look 1:
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Look 2:
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What do you love about these photos? What is one thing you would change?
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Please provide a detailed description of your hair history for the last 3 years, including color, chemicals, bleach, treatments, etc: This is VERY IMPORTANT!!!
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Have you ever used box hair color?
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Yes
No
If yes, when was the last time?
Have you ever used henna color?
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Yes
No
If yes, when was the last time?
Have you ever received a chemical straighter, relaxer service or similar treatment?
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Yes, within the last month
Yes, within the last year
Over a year ago
Never
Please go into more detail about any questions, requests or concerns you may have for me:
I understand that chemical services can result in hair damage such as breakage, color alteration and/or permanent change of texture. I agree to hold the salon and the hair technician harmless in the event of unexpected or undesired results. I understand that any further alterations or corrections will be provided at my own expense.
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I agree to this statement
I understand that chemicals can damage my jewelry, clothes and/or accessories and I will dress accordingly for my appointment. I understand that the salon and the hair technician is not liable for any accidental damages.
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I agree to this statement
I understand that if I cancel my appointment with less than 24 hours I will be charged 75% of the service fee. If I no show my appointment, I will be charged 100% of the service fee. Repeated late cancellations will result in a deposit being required to book for all future appointments.
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I agree to this statement
I understand, have read and completed this questionnaire truthfully. I understand that previous treatments and/or chemical services can affect the outcome of my desired results. I have fully disclosed all requested information related to my hair history. I understand that withholding information or providing misinformation may result in contradictions and/or irritation to the hair service being received.
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I agree to this statement
Signature
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Date
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Month
-
Day
Year
Date
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