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Salon Consultation -Form Fill
Section One
Q1
Name
First Name
Q2
Name
Last Name
Q3
Phone Number
Area Code
Q4
Phone Number
Phone Number
Q5
Email
Q6
Select a salon service
Hair Color
Curly Cut
Cut/ Shape
Highlights
Trim
Twist- Out
Two- Strand Twists
Wash & Go
Nail Polish
Nail Care
Make-up
Iron/Curling
Shampoo & Blowdry
Straightening and Perming
Waxing
Treatments
Q7
What hair style do you like?
Q8
Upload an image of the hair style you prefer
Q9
Any special instructions?
Q10
How often do you go to salon?
Every week
Every 2 weeks
Every 3-4 weeks
Every 2 months
Every 2-6 months
Twice a year
Once a year
Q11
How long is your hair?
Short
Medium
Long
Q12
How often do you apply shampoo in your hair?
Every day
Every other day
Twice a week
Once a week
Q13
Kindly describe the status of your scalp.
Dry
Normal
Oily
Q14
Describe your hair by checking the options below: (You can select more than one)
Healthy
Damaged
Straight
Wavy Curly
Fine
Thick
Q15
When did you last apply professional or unprofessional color in your hair?
Q16
Do you have any hair loss problems in the past?
Q17
Are you currently taking any medications? If yes, please list them below. If not, please put N/A.
Q18
Please indicate the list of hair products you're currently using:
Q19
How did you hear about this salon?
Facebook
Twitter
Instagram
YouTube
Online Advertisement
Google Search
Referred by a friend
Newspaper/Magazine
Q20
Client Signature
Q21
Date Signed
Date
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