Consultation Form

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New Reflections Salon Consultation
Form  
1. How happy are you with your current look?
Look
(Rate on a scale of 1-10 10 being best: ) 1 2 3 4 5 6 7 8 9 10
2. How open are you to change?
Cut
(Rate on a scale of 1-10 10 being best: ) 1 2 3 4 5 6 7 8 9 10
Color
(Rate on a scale of 1-10 10 being best: ) 1 2 3 4 5 6 7 8 9 10
Style
(Rate on a scale of 1-10 10 being best: ) 1 2 3 4 5 6 7 8 9 10
3. How much time are you willing to spend on your hair each day? 5, 10, 15, 20+ (circle one)
4. How often do you wash your hair? ________________________________________________________________________________________
5. How often can you visit the salon to maintain your current look?
4weeks_____
6weeks_____
8weeks_____
12weeks_____
other_____
6. How would you like your final look to appear?
Soft Feminine____ Tailored_____
Classic_____
Trendy_____
Professional_____ Glamorous_____
Clean lines____
7. What do you like most about your hair? _____________________________________________________________________________________
8. What areas present the biggest challenges for you? (Cowlicks, neckline, growth pattern, ears, forehead)
9. What would be the perfect hair length?
above the ears_____ cheek bone_____ jawbone_____ shoulder length_____ below shoulders_____ bust length_____ waist length_____
10. Color
What color do you not want to be? __________________________________________________________________________________
Is there a color you have always wanted to be? ________________________________________________________________________
Do you love your natural hair color? _________________________________________________________________________________
What do you like best about your current color? ________________________________________________________________________
11. Treatments for healthy hair
Is your hair as shiny as you would like it to be?
Yes_____
No_____
How does your hair feel? __________________________________________________________________________________________
Do you have concerns about thinning hair? ____________________________________________________________________________
12. Would you like more information on how to care for your hair at home?
Styling education _____
Styling tools_____ Correct Products_____
13. What is your favorite part of getting your hair styled?
________________________________________________________________________________________________________________________
14. What is your least favorite part of getting your hair styled?
________________________________________________________________________________________________________________________
15. Hair Extensions
Are you interested in more length?
Yes_____
No_____
Would you like thicker hair?
Yes_____
No_____
16. Do you have any future special events we should plan for?
Yes_____
No_____
Please list ______________________________________________________________________________  

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