Name
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First Name
Last Name
Preferred Pronouns
Phone
*
(###)
###
####
Email
*
Date of Birth
*
Please give a detailed description of your goals for this appointment.
Here are some key words or terms to help you describe what you'd like. Select as many as you'd like!
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I'd love to see your vision! Upload inspiration photos here.
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Do you have professional or at home color in your hair currently? If so, when was this done?
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I need some background. Upload clear, recent images of what your hair looks like currently, please.
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FileField; MaxSize=1000000KB; Multiple; addText=Upload_Your_Files
How often do you go to the salon for services?
Every week
Every 2 weeks
Every 3-4 weeks
Every 2 months
Every 2-6 months
Twice a year
Once a year
Other
How long is your hair?
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Very short - scalp to ears
Short - ears to middle of neck
Medium - middle of neck to shoulder
Long - shoulder to middle of back
Very Long - middle of back and longer
What is the condition of your scalp?
*
What is your hair type?
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Straight
Wavy
Curly
Very Curly
Coils
Other
What is the thickness of your hair?
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Very thick
Thick
Medium
Fine
Thin
Not Sure
Other
What is the current condition of your hair?
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Have you done any of these in the past 6 months?
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Do you have any concerns in regards to your hair or scalp health that I should be aware of?
Do you have any health conditions I should be aware of?
Please list any hair products you are currently using
Do you have any allergies or sensitivities? Please list them below.
*
What's your ideal energy level for a service?
High to normal energy - talking, laughing, upbeat music
Normal energy - upbeat or relaxed music, talking, quiet pauses
Low energy - relaxed music, less talking
Silent appointment - no talking, little or no music
Scalp massage? This is the standard scalp massage I give each client unless otherwise stated.
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Yes please!
A quick one.
No thank you, do what you need to do and nothing else.
Which add-on would you like?
Budget?
Your availability?
*
May I have permission to take photos and/or video of your hair before, during, and after your service? Please answer yes or no and initial.
*
May I have permission to post the photos and/or videos mentioned above to my social media accounts, Google, portfolio, online, etc? Please answer yes or no and initial.
*
Is there anything else I should know about you, your hair, or in general before your service?
How did you hear about me?
Please enter today's date
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