New Client Consultation Form

Thank you for your interest in becoming a client. I would like to learn more about you, your hair needs, and your preferences.

STEP 1 Please take a moment to answer the questions below as completely and accurately as possible. This completed form will automatically add you to the Waitlist.

STEP 2 As scheduling availability allows, I will pull your form from the Waitlist and follow up with a text to book a mandatory phone consultation to discuss the information you provided more in depth. Once these two steps have been completed, we can book your appointment and begin your Healthy Hair Journey.

Name

First Name

Last Name

Phone

(###)

###

####

What is your ultimate hair goal?

What is your go to style for your hair? (Check each that applies)

Natural ( Curls-Kinks-Coils )

Silk Press ( Sleek or with Body )

Extensions ( Sew In Weave or U Part Wig )

Ponytails

Braids or other Protective Styles

I like to mix it up

What are your hair concerns?

How often do you shampoo and condition your hair?

What products do you use for wash day and for daily use?

Is your scalp?

Is dandruff or flakiness an issue?

Please list any and all Allergies & Adverse Reactions you have experienced as it pertains to hair and skincare:

Have you ever been treated by a doctor for hair loss or scalp problems?

Do you see a professional stylist regularly? If so, how often?

I can commit to salon visits...

Do you like to chat during your appointment, or do you prefer a quiet appointment?

How did you hear about my services?

Do you consent to having your photograph taken, being recorded, and your image being utilized for social media content?