Hair consultation form
HairTech Studio
Email address *
What is your name and your age? *
Your answer
Are you on any medications? If so name them.
Your answer
Have you had your blood work done lately?
Your answer
What are your goals with your hair?
Your answer
What products do you use currently?
Your answer
Any hormonal issues?
Yes
Your answer
When was the last chemical service done on your hair?
Your answer
How many times have you had your haircolor done in the last 18 month? What was done?
Your answer
Do you take vitamins?
Your answer
What is your email address and home address. *
Your answer
When finish press submit *
A copy of your responses will be emailed to the address you provided.
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