Hair Consultation Form Name * First Name Last Name Email * Phone * (###) ### #### Birthday (Month/Day) * What services are you interested in? * Extensions Natural Hair Relaxers Hair Color Flat Iron/Silk Press Other Services Please list any allergies. * How often do you go to salon for hair treatments? * Every week Every 2 weeks Every 3-4 weeks Every 2 months Every 2-6 months Once a year Twice a year Other How often are you willing to commit to schedule maintenance appointments? * Every 2 weeks Every 1-2 Months Every 3-4 Months Every 5-6 Months or longer Other How often do you apply shampoo and conditioner in your hair? * Everyday Every other day Once a week Twice a week Every other week Once a month Other What is the current condition of your hair? * Hair loss Damage due to heat Split ends Breakage Itchy scalp Hair is dry Dandruff Healhty Frizzy Other Have you used the following in your hair before? * Permanent hair color Keratin Treatment Razor cut/Thinning Relaxer Henna Other Message * What hair style do you like? What are your hair goals? * What do you love about your hair? * What are your challenges with your hair? * What are your priorities and or concerns for our sessions? * Please list any medications you are taking. How did you hear about me? * All information indicated in this form is true and accurate. * YES NO Are a minor (under 18 years old)? * YES NO Thank you!
