Form cover
Page 1 of 1

New Client Consultation Form

Full Name

Phone Number

What City/State do you live in?

Please select the Service(s) you are interested in

Please select the Service(s) you are interested in

Upload an image of the hair style you prefer that clearly shows the desired color and length.

Upload a picture of your hair. It must be recent with no tilters and in natural lighting. I need to see your true color length ect.

Any special requests for this service(s)?

How often do you go to the salon?

How long is your hair?

How often do you wash your hair?

Which of these best describe your hair. You can select more than one

Which of these best describe your hair. You can select more than one

When did you last apply professional or unprofessional color in your hair? Please give a short description of what was done. If you've used box color in the last year, please include that!

Have you had or currently experience any hair loss problems? Please explain

Are you currently taking any medications or had any surgical procedures in the last few years? If yes, please list them below. If not, please put N/A. (this can drastically affect the outcome of your service)

Please list the current hair products you are using

How did you hear about this salon?

How did you hear about this salon?

Can you come on a Wednesday or Thursday between 9AM and 4 PM, or a Friday between 9 AM and 1 PM?

Do you have a set maximum budget?

Would you like to do a Virtual consultation over the phone or a consultation in person?

What is your preferred way for me to reach out to you?

What is your preferred way for me to reach out to you?

Once this form is completed I will reach out to you!

Please confirm that all information given in this form is true

Please confirm that all information given in this form is true
A

Please sign

Signature