Name *

First Name

Last Name

Phone *

(###)

###

####

What hair color service are you interested in? *

*Consent form must be signed prior to Color Correction service.

Single Process Tint

Balayage/Highlights

Babylights

Babylights + Balayage

Dimensional Blonde

Creative Color

Color Correction

What is your current hair length? *

Super Short - above ear

Short - above jaw

Medium - between jaw and shoulders

Long - below shoulders

Super Long - below mid-back

What is your hair density? *

Fine

Medium

Thick

Is there permanent hair color in your hair? *

Yes

No

Not sure

Do you have grey hair? *

Yes

No

Are we maintaining what you already have or are we making a change? *

Maintaining

Making a change

Do you have hair extensions? *

Yes

No

Have you ever had an allergic reaction to hair color? Such as; iching, burning, stinging, red or dry skin? *

Yes

No

Have you used any of these in your hair in the past? Please select all that apply. It is your personal responsibility to be upfront and honest about your hair history and to reveal any of the items listed below as they may cause negative reactions to salon chemical services. *

*Any damage caused to the hair as a result of undivulged information during the consultation is not the responsibility of the salon or stylist.

Henna or Vegetable dye

Box color (metallic salts/compounds)

Hair color remover

Brazilian or Keratin treatment

Relaxer or Perm

None

Do you have high porosity, over-processed, or damaged hair? *

Yes

No

Not sure

Would you like to upgrade your service with a treatment? *

*Highly recommended.

Yes

No

Not sure

Do you need to add another service? *

Haircut

Hair Treatment

Hair Gloss

None