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new client form

After I review your answers, I may request you come in for an in person consultation.

First Name

Last Name

Email

Are you going lighter or darker?

Lighter

Darker

Dimensional

Rainbow Colors

When was your last service?

1 year or less

2 or more years

Never been colored / Virgin hair

What is your hair length?

Short/ Pixie/ Shaved

chin

Above shoulders

Past shoulders

Mid- Back

Hip Length

what type of water do you have at home?

Well Water

City water

How do you style your hair on a daily basis?

Air dry

Blow dry

Flat Iron/ Curling Iron

When do would you like this done?

What is your hair texture?

Thick / Straight

Fine/ Straight

Thick/Wavy

Fine/Wavy

Thick/ Curly

Fine/Curly

How often do you shampoo & condition?

Daily

1-3 times a week

Please attach a current photo of your hair . ( no filtered pictures, selfies, bathroom photos) Please have someone take a picture of the back of your hair outside. You can also email inspiration photos to revitupandgo1@gmail.com

Upload File

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