New Client Intake Form Name * First Name Last Name Email * Phone * (###) ### #### When would like to come in? When was your last hair appointment? What type of appointment would you like to come in for? Cut Color Smoothing Treatment Highlights Gray Coverage Extensions Color Correction Have you ever box colored your hair? Do you have permanent color in your hair? Do you have gray hair? How would you describe your hair? Fine Medium Coarse How would you describe your hair? Dry Oily Normal How would you describe your hair when it dries naturally? Straight Wavy Curly Have you had any sort or keratin/ straightening treatment? If yes, when was your last treatment? Is your hair damaged? How often do you want to get your hair done? -1-3 months -3-6 months - 6-12 months - other (please describe below) Do you currently have postpartum hair loss or regrowth? Do you have any medical conditions or taking any medications that are affecting your hair? Do you have any specific likes or dislikes when it comes to your hair? Anything else you'd like Michelle to know about you or your hair before your appointment? Thank you!