New Client Consultation Form for Hair Services Order Number Concihairge appreciates you as a new client and the investment that you are about to make in your hair. To provide you with the best service and the greatest results, please take a moment to fill out the following questions and upload the requested pictures for your Regional Stylist to review. Email Address: Name: Please provide the first and last name given when you scheduled your appointment. After reviewing our menu, please list all the services that you are interested in receiving. Is maintaining length a priority? YES! Yes, but I am willing to sacrifice length for health. No, I need my length shortened to maintain my look. No, I am ready to loose a lot of length! I am open to my Regional Stylist's recommendation to get me to a health or look goal. What is your current hair ritual? Please list the products you use and how often including shampoo and conditioners. Do you use heat tools such as a blow dryer or iron? Yes, everyday! Occassionally Never If you use heated tools, do you protect your hair with product prior? Yes, everytime! Most of the time- I try to remember. Never. What are you talking about, I should protect my hair?! Who is your hair Goddess? (ex. Jen Anniston, Kardashians, etc) What do you like about your hair? What do you wish you could change about your hair? Think back to your favorite color or style. What did you love about it? Think back to your least favorite color or style. What did you dislike about it? Do you currently have color in your hair? Yes, I routinely color my hair. Yes, a long time ago. I have never colored my hair and do not want to consider coloring services at this time. I have never colored my hair but would like to consider coloring services in the future. Have you ever colored your hair at home? * No way! I have in the past, but never again! I occasionally color my hair between appointments when in a pinch. I often color my hair at home. Please upload at least two inspirational pictures for your appointment. * Add Files Inspiration 3 Inspiration 2 Inspiration 4 Please describe what you like about the inspirational pictures you provided. Please upload at least two pictures of your hair currently (preferably in natural lighting). * Add Files Current Hair 2 Current Hair 3 Current Hair 4 Please describe your hair currently. Do you feel the pictures you provided accurately show your current color and condition, or does the lighting make it look different? How often do you get your hair done? I get my hair done routinely- every 4-6 weeks. I get my hair done routinely- every 6-10 weeks. I get my hair done routinely- every 10-12 weeks. I get my hair done when I can't stand it anymore. I like to get my hair done only when I feel I need it. I would like to establish a routine and am looking for my Regional Stylist's recommendation based on my hair and goals. Approximately, when was your last hair appointment? Do you have any allergies that may affect your appointment? If so, what are they? * Are you currently going through hormonal therapy or treatments, or do you currently take any medications that may affect the outcome of your hair appointment? Please summarize what your goals are for this appointment. Is there anything else that you think is important for your Regional Stylist to know? Is there anything your Regional Stylist should know about traveling or setting up for your appointment in your home? Thank you for entrusting Concihairge with your salon needs and for helping us to create an amazing experience for you! Your Regional Stylist will review your answers and contact you prior to your appointment to consult with you directly about your services.