AZTA Eastwood Booking Form

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Thank you for your interest in Azta.

To proceed with your appointment in Azta Eastwood branch, kindly fill-out this form with your details and our team will get in touch with you.

We can't wait to have you over! ☺

Email *

Full Name *

Contact Number *

Is this your first time in AZTA? *

Yes

Preferred Date: *

YYYY

Preferred Time: *

Cut-off time for appointments may change depending on mall hours. The Branch Booking Admin will coordinate with you accordingly should there be any changes on your desired timeslot.

Do you have a preferred stylist? If none, please indicate N/A in the space provided. *

Choose the service/s you wish to avail: *

Haircut (approx. 40 minutes)

Regular Color Change (approx. 2.5 hours)

Special Color Change: Balayage Ombre, Blondes/Metallics (approx. 7 hours)

Hair Treatment (approx. 2 hours)

Basic Styling (approx. 1 hour)

Hands and Feet Services (approx. 1.5 hours)

Other:

Required

Pre-assessment: 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. Procedure for hair treatments such as color, bleaching, digital perm, rebond and Brazilian Keratin Treatment will also depend on the current state of your hair i.e. dry, oily, frizzy, thin/fine, thick/coarse, curly, rebonded, permed and more. The information you will provide will help us provide you the most appropriate recommendations and cost estimate.

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.

Other:

What was the last hair treatment you had? *

Please check all that applies.

Rebond

Perm

Brazilian Keratin Treatment

Hot Oil / Hair Spa / Hair Care Treatment

Bleaching

Hair Color / Highlights

DIY Hair Color

DIY Hair Treatment

Other:

Required

Describe the current length of your hair: *

Short (Ear-length)

Medium (Chin-length)

Long (Shoulder Length)

Other:

Describe your current hair condition. *

Please check all that applies.

Thin / Fine

Thick

Naturally Curly

Permed Hair

Rebonded

Dry, Frizzy, Damaged and Prone to Breakage

Bleached

Faded Hair Color

Other:

Required

Do you have any pre-existing hair or skin condition? *

None

Dandruff

Oily Scalp

Hair Fleas

Hair Loss / Falling Hair

Eczema / Skin Asthma / Psoriasis

Skin Allergies

Other:

Any other requests for your appointment? If none, please indicate N/A in the space provided. *

Best time to call for a remote consultation: *

Please choose the most convenient time for us to call you for pre-assessment with a stylist:

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