Name *

First Name

Last Name

What is your hair type? *

straight (1a/1b/1c)

wavy (2a/2b/2c)

curly (3a/3b/3c)

coily (4a/4b/4c)

What is your hair density? *

extremely thin

thin

medium

thick

extremely thick

How is your overall hair/scalp health? *

Choose all that apply.

healthy hair/scalp. no major issues.

healthy hair with breakage around the hairline

slightly damaged hair/breakage on the ends

dry hair.

damaged hair due to bleaching/over processed color

damaged hair due to heat styling

greasy hair/scalp

flakey scalp

extremely damaged hair

I have a medical issue effecting my hair/scalp

What hair service are you looking to get done? *

Please select all that apply.

New haircut

New haircolor

I want a drastic change

I want a subtle change

I need to fix a bad dye job

I need to fix a bad haircut

I want to go lighter

I want to go darker

I want to go red

I want a vivid or pastel color

I want a custom hair color

I want bangs

Have you ever colored your hair before? *

At home color, highlights, balayage, gray coverage, overall color, etc. Unless you've never once colored your hair in your entire life, please choose 'yes'

Yes

No