Client Consultation

ARTISTE M STUDIOS

CLIENT CONSULTATION FORM:

Please fill out the form below so I can get to know you and your hair better as well as keep record of your hair goals, progress and etc.

* Indicates required field

Name *

First

Last

Birthday (Month/Day) *

Email *

Phone Number *

What is your current hair length? (short, medium, shoulder-length, long) ? *

Is your hair currently natural? (without chemical) YES or NO *

A. How long have you worn a relaxer? *

B. Are you considering transitioning to a natural hair care regimen ? *

A. How long have you worn your hair natural ? *

B. Did you do the " BIG CHOP", transitioned gradually or natural all your life ? *

How would you describe your scalp ? *

dry normal oily scalp issues

How would you describe the current condition of your hair? *

healthy slightly damaged severely damaged

How often do you Shampoo? *

daily weekly bi-weekly as needed

How would you describe the natural texture of your hair? *

straight wavy curly kinky

How often do you Condition *

daily weekly bi-weekly as needed

How would you describe the density of your hair? *

thin medium thick SUPER thick

how often do you Deep Condition? *

daily weekly bi-weekly as needed

Are you currently taking any medication that may cause side effects such as hair loss or thinning ? If so, which ones? *

Do you have any known allergies? If so, what ? *

Do you have now or have had in the past problems with hair loss ? *

Do you wear hair extensions (weaves, braids, twist, etc) . If so, how often ? *

What are the preferred styles you wear? *

What are your long term hair goals ? (1-2 years) *

more length healthier hair locs moisture

Is there anything you need to improve in your current method of hair care ? *

daily regimen hair products eating habits supplements

Please describe what you want your hair to say about you? (e.g. vibrant, sassy, elegant, etc.) *

ANY EXTRA COMMENTS ? *

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