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ABOUT ME
HAIR
MAKEUP
BRIDAL
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CONTACT
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Client Information Form

Client Information Formsuperadmin2023-06-03T14:41:59+00:00

Hair Enhancement Client Information

Name

Phone number

What is the current length of your hair?

Long

short

shoulder length

What is your desired length?

Long

short

shoulder length

Do you have any prior color (professional/box) currently in your hair?

Yes

How is your scalp?

oily

dry

flakey

sensitive

Have you had hair extensions before?

Yes

Do you have a medical condition wherein hair loss is present like alopecia?

Yes

Are you currently in treatment for hair loss?

Yes

Are you currently taking medication for hair loss?

Yes

Do you have any skin-related disease?

Yes

If yes, please explain

Do you have any allergies?

Yes

If yes, please explain

Are you sensitive to metals?

Yes

If yes, please explain

Do you regularly swim?

Yes

Have you been pregnant in the last 6 months?

Yes

If yes, please explain

Do you usually workout?

Yes

Consent(Required)

I confirm that all information I entered in this form is accurate and true.(Required)

Consent(Required)

I agree and confit after discussing with Angie that w picked the best method(s) that work with my lifestyle and maintenance schedule.(Required)

Consent(Required)

I understand that I need to follow pre-procedure and post-procedure care.(Required)

Consent(Required)

I understand that for canceling or rescheduling, I need to call the salon or clinic directly and talk to the staff to get voice confirmation.(Required)

Consent(Required)

I confirm that the salon does not provide a refund for deposit payments.(Required)

Consent(Required)

I released the salon for any liabilities or hold harmless for any damages, injury, or accidents that can happen during or after the procedure.(Required)

Consent(Required)

I understand that because of the hairs natural growth cycle i will need to book and attend maintenance appointment every 4 to 6 weeks in order for my service to be guaranteed.(Required)

Consent(Required)

I understand that removal must be performed by a hair salon technician or extensionist. By signing below, you agreed that you have read and understood the terms and agreement above.(Required)

Sign(Required)

Date(Required)

MM slash DD slash YYYY