CONSULTATION FORM

Consultations are required on all services rendered.
Quotes will be provided by stylists accordingly.
Please complete a consultation form before appointment setting and review our salon policies below:

a natural affair salon policies

First Name *

Last Name *

Email Address *

Best Phone Number to Reach You *

What is the condition of your hair/scalp? Please check all that apply: *My hair is very healthyMy hair is fairly healthyMy hair is broken off and unevenMy hair is color/heat damagedMy hair is thinningMy scalp is bald in some areasI have scalp alopeciaI am recovering from chemotherapy/radiation treatments/medicationI am experiencing post pregnancy hair sheddingI have dry scalp/itching/flaking issuesI have a thinning hairline

From a scale of 1-5, with 1 being very straight and 5 being the tightest curl (kinky), please give us an idea of your hair texture. *12345

What is your hair length? *01 inch1-2 inches3-5 inches6-9 inches10-15 inches15+ inches

What is your hair density? *Very ThickSomewhat ThickMedium ThicknessThinVery Thin

How are you currently wearing your hair? *

Do you use a chemical relaxer? *YesNo

When did you have your last relaxer? *Less than a month ago1-2 months ago2-4 months agoMore than 4 months agoOver a Year Ago

What kind of hair care do you usually get? Please check all that apply. *I receive professional care at a salonI generally wash and style my hair myselfI generally do my own relaxer and/or color treatments

Do you take any medications, vitamins and/or supplements? If so, please list and desribe in the box below: *

What would you like us to help you acheive? Please check all that apply. *I'm ready to completely cut out my relaxed hair (big chop)I'd like to slowly transition from relaxed to natural hairI need health completely restored to my hair/scalpI want to have Traditional Locs installedI want to have Sisterlocs/Brotherlocs installedI would like to have a protective style using my own hairI would like to have a protective style using hair extensionsI'd like to try organic color treatmentsI'd like to have my hair professionally flat-ironedOther

Is there anything else that you would like us to know?

Understanding of Policies *By submitting this consultation form, you understand and have read our salon policies and will abide by them as a client.

Please do not fill in this field.

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