- Date of Consultation
- Have you ever colored your hair?*
- If Yes, how was it done?
- Have you ever bleached/lightened your hair?*
- If Yes, how was it done?
- Have you ever had fashion colors in your hair? Ex. Purple, Blue, Green, Etc.*
- If Yes, how was it done?
- Have you ever had any chemical services that aren't color? Ex. Perm, Relaxer, etc. *
- If Yes, how was it done?
- Porosity
- Elasticity
- Overall Health of Hair
- Should be Empty: