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Hairdressing Form - History of Coloring and Chemical Treatments

IT IS VITALLY IMPORTANT THAT YOU ARE HONEST WHILE GIVING DETAILS OF YOUR TREATMENT HISTORY ON THIS FORM. FAILURE TO DO SO COULD RESULT IN YOUR TREATMENT FAILING MID-WAY AS IT IS NOT POSSIBLE FOR ME TO TELL WHAT PREVIOUS TREATMENTS YOU HAVE HAD UNTIL THE STRIPPING PROCESS HAS ALREADY BEGUN. AS THIS TREATMENT DOES NOT ALLOW ME TO TAKE ON ANY MORE CLIENTS FOR THAT DAY, ONCE THE PROCESS HAS STARTED, YOUR DEPOSIT WILL BE NON-REFUNDABLE.

Client Details

Client's Name: Email: Phone number:

History of Coloring

Brand of hair dye used in the last three years: More Has the client used natural dyes (e.g., henna)?

Chemical Treatments

Perm: Has the client had a perm treatment? Keratin Treatments: Has the client undergone keratin treatments? Botox Treatment: Has the client had a botox hair treatment?

Current Hair Condition

General hair condition (dry, damaged, healthy, etc.): Current hair color: Additional comments regarding the hair condition: Does the client use a hair straightener? If so, how often and at what temperature?

Client's Expectations

What does the client expect after the visit? Preferred type of treatment/coloring:

Hair Washing Frequency

How often does the client wash their hair? What hair washing products does the client use? Does the client use medicinal or natural shampoos? Select... Medicinal Natural

Hair Care Products Used

What hair care products (shampoo, conditioner, mask, serum) is the client currently using? Does the client use any specialized hair care products?

Allergic Reaction Susceptibility

Does the client have a tendency for allergic reactions to ingredients found in hair products?