Protective Hairstyle Maintenance Checklist Form
Use this checklist to track the condition and care of your protective hairstyle.
Date of Maintenance
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Type of Protective Hairstyle
*
Please Select
Box Braids
Twists
Cornrows
Faux Locs
Bantu Knots
Wigs
Other
Overall Condition of Hairstyle
*
Excellent
Good
Fair
Needs Attention
Scalp Condition
*
Healthy
Dry
Itchy
Flaky
Irritated
Moisture Level
*
Well moisturized
Somewhat dry
Very dry
Frizz or New Growth Present?
*
No
Minimal
Moderate
Significant
Products Used Today
Moisturizer
Oil
Leave-in Conditioner
Scalp Treatment
None
Other
Actions Taken
Moisturized hair/scalp
Oiled scalp
Re-twisted or re-braided sections
Trimmed frizz
Covered hair at night
Other
Next Planned Maintenance Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Additional Notes
Submit Checklist
Should be Empty: