New Client Form Name * First Name Last Name Phone Number Email * How did you hear about us? Fresha Friends or Family Google Social Media Things you would to improve about your hair? When was your last hair colour service? 0 - 3 months 3 - 6 months 6 - 12 months 12+ months Was your previous hair colour done professionally? Yes No Please list all hair chemical services you've had done in the last 2 years? Please list what shampoo, conditioner, treatments and styling products you are currently using? Are you currently using any supermarket hair care products? Have you swum in a chlorinated pool in the past 7 days? Yes No Do you have any known allergies or skin conditions that we should be aware of? * Have you been denied a colour service in the past 2 years due to poor hair condition? Yes No I am aware and understand that chemical services such as colouring, lightening and relaxing can potentially cause damage to my hair and / or scalp. I have disclosed all relevant colour history, medical history, allergies, or sensitivities prior to my service. I agree to follow the aftercare instructions provided by my stylist. I accept that the results of my service today may vary on my hair type, condition, and any previous hair services. * I agree I don't accept Have you ever had any kind of reaction to a chemical hair service? Thank you! We can’t wait to style your hair.
