(Client's Template) L'Oréal's Professional Consultation Form

Name*

First NameLast Name

1. Are you under 16 YEARS OF AGE?*

YesNo

2. Have you had any ALLERGIC REACTIONS to HAIR COLOURANT PRODUCTS?

YesNo

3. Have you had an ALLERGIC REACTION to any type of skin TATTOO including henna or permanent MAKE-UP?

YesNo

4. Do you have a RASH on your FACE or SENSITIVE, IRRITATED and DAMAGED SCALP?

YesNo

Unfortunately, due to the answers you have given, we are unable to colour your hair. Please contact us to discuss further options

5. Are you a NEW COLOUR CLIENT to this salon or are the salon using a DIFFERENT COLORANT BRAND or SHADE?

YesNo

6. Has it been MORE THAN 6 MONTHS since you last had a colour in the salon with classic technology or INOA (ODS) technology?

YesNo

7. Is it MORE THAN 12 MONTHS since your last allergy alert test with classic technology or INOA (ODS) technology?

YesNo

8. Have you had any type of skin TATTOO including henna or permanent MAKE UP since your last coloration?

YesNo

9. Have you had an ALLERGIC REACTION since your last coloration?

YesNo

Based on the answers you have provided, you will need to complete a new allergy test. Please contact the salon to arrange this