Hair Color Appointment

Name

First Name

Last Name

Date of Birth

MM

DD

YYYY

Are you requesting a specific stylist? If so, which one?

About Hair

When was your hair last colored?

MM

DD

YYYY

Are you happy with your current hair style?

Yes

No

Is there permanent color in your hair?

Yes

No

Do you have gray hair that you are looking to cover?

Yes

No

If yes please note the percentage of grey you currently have

Are we painting what you already have or are we making a change?

Maintaining

Making a Change

Image of current hair color

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What would you change about your hair?

What do you like about your current hair?

Inspiration images for ideal hair color

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