New Guest: Hair

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* Telephone

* Email Address

* Date Of Birth

* Were you referred to us? Select One... Yes No

If yes, who referred you?

* Who is your desired stylist?

* What is the condition of your scalp? Select One... Oily Normal Dry

* How would you describe your hair condition? Select One... Straight Curly Wavy Unsure

* Are you taking any medications that cause thinning? Select One... Yes No

* Do you have professional color on your hair at this time? Select One... Yes No

* If you have unprofessional color (at home box dye) in your hair at this time, when was the last time it was colored? Select One... Never In Last Month In Last 3 Months In Last 6 Months In Last Year Over a Year Ago

* What products are you using at home?

* What do you love most about your hair? If you could change something, what would you change?

* Please select your availability:

If there is anything else you would like us to know, please type it here: