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.
Email address *
First & Last Name *
Your answer
Phone Number *
Your answer
Is this a cell phone and, if so, are willing to receive text reminders for appointments? *
How would you describe your scalp? *
Your answer
How would you describe the current condition of your hair? *
Your answer
How often do you shampoo your hair? *
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:
Your answer
Have you ever experienced issues with hair loss? *
When was the last time you had your hair cut? *
MM
/
DD
/
YYYY
When was the last time you had your hair colored? *
MM
/
DD
/
YYYY
Do you know the brand of hair color used? If yes, please list.
Your answer
Was your hair color done at home or in a salon?
How frequently are you realistically willing to visit the salon for maintenance appointments? *
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 *
Your answer
Do you blow dry your hair? *
Do you use hot tools, such as a flat iron or curling iron? *
Please select all services that interest you (today or in the future): *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service