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Hair Consultation Form

Birthday
Month
Day
Year

Include a (1) before the number.

Address
Preferred Method Of Contact
Text
Email
Other / Facebook / Instagram Messenger

If you choose a social media messenger, please enter your username. if I can't locate your social media I will proceed with one of the other methods of contact.

Are you a new or returning client?
What is your current hair length?
How would you describe the current condition of your hair?
How would you describe the condition of your scalp?
Describe your hair type
Describe your hair thickness
Do you have any known allergies?
No
Yes

If, yes please list any known allergies that may affect your hair care in the additional details below.

What service are you requesting?
Have you had the service your requesting before?
Yes
No
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