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Cutz&Curlz by Jazz Booking Form
thank you for your interest by booking our service :)
to proceed with your appointment, kindly fill out this form with your details.
please take note that all the information is under Republic Act No. 10173, otherwise known as the Data Privacy Act is a law that seeks to protect all forms of information, be it private, personal, or sensitive. It is meant to cover both natural and juridical persons involved in the processing of personal information.
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Is this your 1st time in Cutz&CurlzbyJazz?
JAZZ (Curly Stylist and Curl Specialist)
ORLAND (Senior Hair Stylist for Men and Women Straight and Curly)
NOTE: PLEASE BOOK 2 DAYS IN ADVANCE. and make sure to be on your preferred date. if "No Show" on your appointment, you will be subject to cancellation and 50% of the down payment will automatically deducted.
please take note that after 15 minutes of your preferred time will be subject to cancellation. 50% of the down payment will automatically deducted. we suggest you come early. thank you.
Choose the service/s you wish to avail:
Curly Cut & Style (approx 1.5hour-2hours) Cut, with Wash and Styled Process.
Curly Cut & Color ( approx. 5hours-7hours)LIGHT BROWN, DARK BROWN AND RED COLOR AVAILABLE FOR NOW Cut, Color, with Wash and Styled Process.
Curly Cut & Go / Express Cut (approx. 15mins-60mins) Strictly Cut or Trim. Less Styling.
Curly Style & Go (approx 30mins-60mins) No Cut, Only Wash and Styled.
Reason of getting the service or your Hair Goal?
Or any other request/s for your appointment,if none type "N/A" in the "Other" box.
The Big Chop (cut the rebonded hair and restore my curls)
Cut and Style
More on Styling my Hair (not applicable on Express Cut Service)
More Volume on my Hair
Colored my Hair
Moistured Hair (not applicable on Express Cut Service)
Maintain length on my hair
Please choose your Mode of Payment.
PLEASE NOTE THAT WE REQUIRE P500 OF DOWNPAYMENT TO ENSURE YOUR SLOT ON YOUR APPOINTMENT.. Send your screenshot or photo of downpayment to
or FB/IG of Cutz&CurlzByJazz. if you cancelled appointment, we will deduct 50% from your downpayment and give you the refund. Due to COVID-19, we have limited clients and we value our time. Thank you.
PRE-ASSESMENT: Hair History and Condition
Before we proceed with remote consultation, please provide us a few information about your hair history and current condition. Estimated prices may vary depending on the length, thickness and porosity of your hair. PLEASE TAKE NOTE that the procedure for Hair Color and Bleaching will might losen the curls due to chemical content but we will suggested products to maintain and restore the curls in time. The procedure also will depend on the current state of your hair i.e. dry, oily, frizzy, thin/fine, thick/coarse, permed and more. The information you will provide will help us provide you the most appropriate recommendations and cost estimate.
What is your Curl Hair Type
WAVY HAIR (Type 2A,2B,2C)
CURLY HAIR TYPE (3A,3B,3C)
KINKY/COILY TYPE (4A,4B,4C)
MIXED TYPE (Some hair strands are mixed with other type, please check "other" box for your answer)
I don't know, i need you to check it for me.
Describe the current length of your hair
What was the last treatment you had?
Please check all that applies. answer on the "other" box for the recent treatment you had.
Brazilian Keratin Treatment
Hot Oil / Hair Spa/ Hair Care Treatment
Hair Color / Highlights
DIY Hair Color
DIY Hair Treatment
When was the last time you had a hair treatment in any salon?
Between January to March 2020
1-2 years ago
3-5 years ago
Sorry, I can't remember
I haven't had any hair treatments before. My hair is 100% pure and untouched.
What products do you use to your hair or to maintain your curls? (Shampoo, Conditioner, Styler, Treatment, etc.,)
Please include the brand name. For example, CONDITIONER - Aloe Vera Zenutriets; STYLER- Hair Gel Bench
How do you cleanse your hair?
Co-wash (conditioner wash) / No Poo
Low Poo ( low lather shampoo)
How often do you cleanse and condition your hair?
Every Other Day
2-3 times per week
Once per week
Once every 2 weeks
Once per month
Describe your current hair condition.
Normal and Healthy
Thin / Fine
Faded Hair Color
Do you have any pre-existing hair or skin condition?
Hair Loss / Falling Hair
Eczema / Skin Asthma / Psoriasis
I acknowledge that all information's above are true. I am also aware that products have some chemical content that may cause or harm my current hair status. any result of damage is not liable of Cutz&Curlz by Jazz.
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