Meghan Straight Hair & Hair Color/Blonding Consultation Form

Meghan Hair Color Consultation Form

Thank you in advance for filling this out thoroughly and honestly. Because we value your time and money, this consultation application will help us determine if we are a compatible fit to help you achieve your hair goals.
Name*

First NameLast Name
Date of Birth
MM/DD/YYYY
Pronouns
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
Email*
example@example.com
How did you hear about me?

Social Media (Instagram, Facebook, etc)Online SearchReferralOther
If referral, please list name:
Medical History
Please list any known allergies:*
If none, please write "None."
Are you pregnant or taking prenatal vitamins?*

YesNo
Have you ever experienced sensitivity to lightener?*

YesNo
If yes, please explain:
Have you ever experienced hair loss, thinning, breakage or bald spots?*

YesNo
If yes, please explain:
Your Hair Profile
What services are you looking to book?*

HaircutAll-Over ColorBalayage/BlondingVivid Hair Color
Take a photo of the FRONT of your CURRENT hair. Hair down, bright light, clean please.*
Take a photo of the BACK of your CURRENT hair. Hair down, bright light, clean please.*
Please upload two examples of what you are hoping to see with your hair. Example 1:*
Example 2:*
What do you like about these photos? Do you dislike anything?*
What are your hair care challenges?*

No volumeToo thickToo thinDrynessOilyDullBreakageFrizzinessWon't stay curledCurl managementNo challengesOther
What are you trying to achieve with your style?*

VolumeMore curlsLess curvesStraightOther
What do you wish your hair did more of?*
Preferred average visits to the salon:*

Every 2-4 weeksEvery 6-8 weeksEvery 2-3 monthsEvery 4-6 monthsOnce a year
How much time do you spend styling your hair after you wash it?*

Less than 15 minutesUp to 30 minutesUp to 45 minutesMore than 1 hour
What is your home styling comfort level?*

Very comfortableComfortableUncomfortableI want some tips!
What kind of styling tools are you using at home?*

Flat ironCurling ironBlowdryerNoneOther
Hair Color History
Please provide a detailed description of your hair history for the last 3 years, including color, chemicals, bleach, treatments, etc: This is VERY IMPORTANT!!!*
Have you ever used box color?*
If so, when was last time you used box color?
How many times did you use box color?
Have you ever used henna color?*
When was the last time you used Henna?
How many times have you used Henna?
Have you ever received a chemical straighter, relaxer service or similar treatment?*

Yes, within the last monthYes, within the last 6-12 monthsNo
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.*

I agree to these statements.
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.*

I agree to these statements.
I understand that if I cancel my appointment with less than 48 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.*

I agree to these statements.
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.*

I agree to these statements.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Meghan Hair Color Consultation Form

Medical History

Your Hair Profile

Hair Color History