ABOUT YOUR CURRENT HAIR

Describe your natural hair (color, texture, shape, etc.)

Have you had your hair colored professionally before?

Yes

No

Do you currently have non-professional hair color on your hair?

Yes

No

Do you have any known scalp or skin allergies or irritations we should know about?

Have you had a chemical process performed on your hair in the last year:

Permanent Wave?

Yes

No

Chemical Relaxing?

Yes

No

Other

Is this a color correction?

Yes

No

Are you taking, or have you, in the last 6 months, taken any of the following medications or treatments?

Chemotherapy

Yes

No

Thyroid Medicine

Yes

No

Let us see you!

Upload a picture of your hair (preferably the front, back, and sides).