New Client Consultation Form
First/Last Name
Birthdate
Occupation
Have you ever had a silk press?
Are you natural, relaxed, or transitioning?
When was your last trim?
Do you take medication? (if so, what?)
Do you have the following: Pregnancy, Anemia, Thyroid Issues,Alopecia, Scalp Conditions, Allergies etc.
Products Currently Being Used...
Additional Questions/Services
Submit
Thank you for submitting! I look forward to your appointment.
Log In