Client Consultation Form
I understand that the information on this form is requested so my stylist can better prepare herself for the services I may receive in the salon and make me aware of any possible concerns or complications with desired services. My information will only be used for these purposes. I have given truthful and complete answers to the best of my abilities.
First & Last Name
Is this a cell phone and, if so, are willing to receive text reminders for appointments?
Yes, I would like reminder text messages
No, never text me
This is not a cell phone
How would you describe your scalp?
How would you describe the current condition of your hair?
How often do you shampoo your hair?
Every other day
2-3 times weekly
Once a week
Less than once a week
How would you describe the natural texture of your hair?
How would you describe the density of your hair?
Are you currently taking any medication known to cause hair thinning or hair loss?
If yes, please list current medications:
Have you ever experienced issues with hair loss?
When was the last time you had your hair cut?
When was the last time you had your hair colored?
Do you know the brand of hair color used? If yes, please list.
Was your hair color done at home or in a salon?
In a salon
How frequently are you realistically willing to visit the salon for maintenance appointments?
More than 8 weeks
Do you know if you have hard water or well water?
Please list the brands of hair care products you use, as applicable: Shampoo, Conditioner, Heat Protectant, Styling Products
Do you blow dry your hair?
I blow dry after every wash
After a wash, sometimes I blow dry, sometimes I air dry
Do you use hot tools, such as a flat iron or curling iron?
Every time I style my hair
Please select all services that interest you (today or in the future):
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