Color Consultation Name * First Name Last Name Phone (###) ### #### Email * What is your hair type? * Straight Wavy Curly What is the density of your hair? * Fine Medium Thick What is the length of your hair? * Short Medium Long Extra Long What is the condition of your hair? * Normal Dry Oily Combo (Oily scalp, Dry ends) What is the condition of your scalp? * Select all that apply Normal Flaky Dry Itchy Oily What color is your hair currently? * What is your natural hair color? * Have you ever had any permanent color in your hair? * Yes No If so, Have you ever had any at- home box dye in your hair? * Yes No Yes, but more than 3 years ago If you've used at- home box dye in the last 3 years, please give the closest estimate of the last time you used it? If this does not apply to you, put N/A in the box * Do you have any allergies to hair color? * Yes No When is the last time your hair was colored? * How often do you get your hair professionally done? * When is the last time you had your hair done at a salon? * Have you ever had any perms, chemical relaxers, Brazilian Blowouts or Keratin Treatments done? If so, when was the last time? * Do you have any scalp conditions to be aware of? (Sensitive scalp, redness or irritation, psoriasis, etc.? * How often do you shampoo/condition your hair? * What is the current condition of your hair? * Healthy Damaged Dry but overall healthy Oily but overall healthy Split ends but overall healthy What service(s) are you looking to get done? * When are you looking to get your hair done? * How often do you change the color of your hair? * (Every month, every 2 months, quarterly, yearly) Are there any other things that you would like to mention? * How did you hear about Ethereal Hair Studio? * Thank you for submitting!
