Mastered By Meme Healthy Hair and Scalp Consultaion form

Let’s talk hair!

Thank you for taking the time to answer these questions. It is a brief, post appointment consultation form. This helps me help you!
Name

First NameLast Name
1. How would you describe your natural hair type?

Other
2. What is your current hair length
short ( neck length or less- please view disclaimer on my booking website) medium ( shoulder length ) long ( passed armpit)
3. Have you had any chemical treatments in the last year? ( relaxers, perms, keratin treatments, )

Other
4. Are you experiencing any hair loss or thinning?
If you selected "Yes", explain here..
5. Are you experiencing any scalp conditions?
If you selected " other" please explain below..
6. How often do you visit a hair care professional?
7. What are your hair goals
8. How often do you shampoo your hair?
9. Are you allergic to anything? Do you have a sensitive scalp? If so, please list below..
BE VERY THOROUGH
10. What products are you currently using? ( shampoo, conditioners, styling products, etc) List below to the best of your ability..
11. Has your hair been colored with or without bleach?
12. How do you typically style your hair on a daily basis?
13. When was your last trim?
Now that you are all done with the consultation form, we're almost ready to start your healthy hair journey. Enter information below and submit your consultation form. Hope to see you soon!
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Should be Empty:

Let’s talk hair!