Intake Form - Salon Studio D

New Client Intake Form

Welcome to Salon Studio D.

Thank you for choosing us for your hair journey. This form helps us understand your hair history, current condition, lifestyle, and desired results so we can create a personalized service plan for you.

Please complete this form as accurately as possible. Your information helps us provide a safe, customized, and successful salon experience.

Full Name

Preferred Name

Email

Phone

Preferred Method of Contact

Email Phone Text

Understanding your previous services is important when determining what is safely achievable with your hair.

When was your last haircut?

When was your last color service?

When was your last chemical service?

Have you colored or chemically treated your hair at home?

Yes No

If "Yes" was selected, please provide more context.

How would you describe your hair?

Texture

Fine Medium Thick

Pattern

Straight Wavy Curly Coily

Density

Low Medium High

If "Other" was selected, please describe below

Is your scalp currently irritated, injured, sunburned, or unusually sensitive?

Yes No

If "Yes", please explain

Are you currently experiencing unusual hair loss or significant shedding?

Yes No

If "Yes", please describe

Current Hair Care

How often do you shampoo your hair?

Daily Once per Week 2-3 Times per Week Other

If "Other", please describe

How often do you use heat styling tools?

If "Other", please list tool below

What professional hair products are you currently using?

Please list any at-home treatments, oils, masks, or other products you are using.

Current Hair Color

Please state your natural hair color

Please state your current hair color

Your Desired Color

What would you like to achieve today?

What do you like about your current hair?

What would you like to change?

Is there anything you definitely DO NOT want to change?

Upload up to 3 inspirational pictures to your stylist (20mb limit - jpg, pdf, gif, png)

Maintenance

How often would you ideally like to maintain your color?

As Needed Every 4-6 Weeks Every 6-8 Weeks Every 8-12 Weeks

How much time are you willing to spend maintaining your hair at home?

Minimal 10-15 Minutes 15-30 Minutes 30+ Minutes

Your safety is important to us. Please answer the following questions honestly.

Have you ever experienced an allergic reaction to hair color or other salon products?

Yes No

If "Yes", please describe

Have you ever experienced burning, itching, swelling, rash, or other irritation during or after a salon service?

Yes No

If "Yes", please explain

If "Other", please describe

Do you currently have any scalp condition, open sores, abrasions, or other scalp concerns that your stylist should know about?

Yes No

If "Yes", please explain

Are you currently using any prescription or professional treatments/products on your scalp or hair?

Yes No

If "Yes", please explain

Is there anything else regarding your health, scalp, hair, allergies, or sensitivities that you believe your stylist should know before your service?

Please check this box to confirm you have read and understand the expectations

Consultation & Service Expectations

I understand that my stylist will evaluate my hair and discuss the desired result before beginning the service.
I understand that the final result may be affected by:

• Previous color or chemical services
• Box color or at-home treatments
• Hair texture and density
• Existing damage or breakage
• Current hair condition
• My hair's ability to safely undergo the requested service

I understand that my stylist may recommend a different service, additional appointments, or a gradual approach when necessary to protect the integrity of my hair.

Please review and familiarize yourself with Salon Studio D's Policies

Cancellations & Rescheduling
Please provide adequate notice when cancelling or rescheduling an appointment. Appointments cancelled or changed with insufficient notice may be subject to Salon Studio D's cancellation policy.

Service Expectations
Your consultation is an important part of your service. Please communicate your desired result, concerns, and expectations with your stylist before your service begins.

If you have questions or concerns during your appointment, please communicate them with your stylist so adjustments can be discussed whenever possible.

Color & Chemical Services
Salon Studio D reserves the right to decline or modify a service when the requested service may compromise the health or integrity of the hair or scalp.

Additional appointments may be recommended when a desired result requires a gradual process.

Pricing
Service pricing may vary depending on hair length, density, condition, product usage, time required, and the complexity of the service.

Your stylist will discuss the recommended service and anticipated investment before proceeding whenever reasonably possible.

Each ‘Agreement’ checkbox is like your signature. When you tick it, you are officially confirming that you have read and understood the terms, and you agree to them. This is a legal requirement to make the agreement enforceable, and it will be kept as proof that you consented.

I have provided accurate information regarding my hair history and previous services.

Agree

I have disclosed any known allergies, sensitivities, scalp concerns, and previous reactions to salon products or services.

Agree

I understand that my stylist will assess my hair and scalp before performing services.

Agree

I understand that my desired result may require multiple appointments.

Agree

I understand that my stylist may recommend modifying or postponing a service when necessary to protect the condition of my hair and/or scalp.

Agree

I understand that pricing may vary depending on the time, products, and services required.

Agree

I understand that I will have the opportunity to ask questions regarding my service prior to my actual service.

Agree