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Client Information

 

Intake Form

Before I can answer your questions; about hair type, what colors & textures you want, and how much for services, I will need to learn more about your hair history. Just fill it in and then you’ll be redirected to my calendar for a 1-on-1 Google Meet Consultation where we can video chat. Please only schedule a video appointment if you are able to keep it.

"*" indicates required fields

Name*
Address*
How would you describe your hair density?
Please select the following that best describes your hair texture:
Have you suffered from hair loss for any reason?
Have you been diagnosed with Alopecia?
Do you suffer from Eczema, Psoriasis, itchy, or sensitive scalp?
Do you have damage that suggest you wear your hair in protective styling?
Help me help Ya'll. How did you hear about Beauty ReDesign?