Consultation Form
Please fill out our consultation form before any bookings can be made
Name:
Email address:
Phone Number:
What is your hair length?:
Short
Medium
Long
How Would you describe your scalp?:
Dry
Oily
Normal
Scalp Issues
How would you describe your current hair condition?:
Healthy
Slightly Damaged
Damaged
How often do you wash your hair?:
Every Day
every other day
Every few Days
Two times a week
How would you describe your Hair Texture?:
Straight
Wavy
Curly
How would you describe the density of your hair?:
Fine
Medium
Thick
Very Thick
Do you take any medications or have a condition that has side effects that cause hair thinning or hair loss?:
No
Yes
Do you have professional colour on your hair at present?:
No
Yes
Do you have non-professional colour on your hair at present? (at home dye)?:
No
Yes
When was the last time you dyed your hair? Please specify if it was at home or in salon:
What hair products are you using at home (eg Shampoo, Conditioner, Oils)?:
Have you ever had a reaction to any hair colourants or products, if so please specify.?:
Do you have any skin disorders?:
No
Yes
Do you have or have you had cancer or any cancer treatments?:
No
Yes
Do you have any allergies?, if so please specify:
Are you pregnant or had a baby in the last 6 months?:
No
Yes
Please attach a photo of your hair, unedited/filtered and in good lighting:
Please attach a photo of the style you wish to have (unedited and unfiltered):
Is there anything else we need to know about your hair? eg extensions, braids etc?:
