Curly Consultation Form
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Tell me about your overall experience in the salon having curly hair.
How did you find out about me?
What brought you to me?
Change the shape of my hair?
Keep the shape of my hair, just a trim please.
I want a beauty redo!
I want the experience
Other
If you chose other please explain.
Please submit a photo of you hiar in its natural curl state.
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Please submit hair goal photo.
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How often do you straighten your hair?
Daily
Every other day
Weekly
Once a month
Special occasions
Never
Have you ever relaxed your hair or used Brazilian blowouts?
If so How many times in the 3 years?
1
2
3
4
Many times and consistently.
Have you ever experienced hair loss? If so please explain.
Are you pregnant or nursing?
Yes I'm pregnant
I'm pregnant and I'm nursing
Im not pregnant but I'm nursing
I'm not pregnant and not nursing
I'm not pregnant and I'm not nursing
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.
How would you describe your curls?
Zig Zag
Coily (Tight curls)
Curly (Soft but full curl)
Wavy (tends to curl well with diffuser)
How thick would you describe your hair as?
Very thick
Thick
Average
Not so thick
How long does it take you to detangle your hair?
Just a couple mins
10-15 min
20-35 min
An hour
...Its breakfast and you will be late for dinner...
Please describe your detangling process.
What products are you using at home?
Have you ever had a steam treatment on your hair?
If so, when and how did you feel about it?
Have you ever colored your hair?
If so, how long ago?
Just did it
Couple months ago
Its been years
Are you interested in coloring your hair?
Please describe the condition of your scalp health
I'm not sure what that means?
I think its ok but i don't really pay attention
I have flaking and dryness and i don't know how to get rid of it.
My scalp is healthy and happy I have no irritation.
Other
If you chose other please explain.
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 is needed?
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