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CHRISTINA CHILDERS
WELLA MASTER COLORIST, HAIRSTYLIST & MAKE-UP ARTIST
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NEW CLIENT CONSULTATION FORM
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PLEASE FILL OUT ONCE YOU HAVE A SCHEDULED APPOINTMENT
Any allergies, medical conditions or medications that would affect hair services?
*
Yes
No
Preferred Appointment Times? Select all that apply
*
Required
Mornings
Lunch / Afternoons
Late Afternoon
Evenings/ After Work
Current Conditions? Select all that apply
*
Required
Frizz
Heat Damage
Oily Hair or Scalp
Dry Hair
Healthy
Extreme Shedding
Breakage
Alopecia
Grow out / Roots
Faded Color
Gray
NONE of the above
Chemical service used on the hair in the past year?
*
Required
Permanet Color
Semi or Demi Color
Keratin Treatment
At Home Box Color
Fashion Color (pink, blue ect)
Foils
Balayage
Toner or Gloss
Other * Explain below
NONE
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