Pre-color Consultation Form

New Color Consult Form

Please complete and submit when booking your color appointment
Full Name *

First Name Last Name
Email *
example@example.com
Phone Number *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Where did you hear about Trimz on a Whim? *

Facebook Twitter Instagram Online Advertisement Google Search Referred by a friend Other
Who is your appointment with? *

Hannah Tasha
Requested Hair Color Service *

Color correction Vivids Blonding Something else
Have you ever had an allergic reaction to haircolor?

No Yes Unsure
Is your hair blonde and you want to go back to your natural color? *

Yes No
Realistically, how often are you available for color maintenance appointments? *

every 3-4 weeks every 6-8 weeks every 3-5 months twice a year once a year as often as my stylist recommends
Hair Texture *

Straight Curly Wavy Kinky curls
Current length of Hair *

Pixie/short men's cut Chin length Touching shoulders Below shoulders Bra strap/mid back Other
Has a stylist ever told you your hair is: *

Very/extremely thick Thick Medium density Thin Very/extremely thin
Hair Condition *

Normal Dry Oily Overprocessed/damaged Other
Scalp condition *

Flaky Dry Itchy Oily Normal Other
When is the last time you visited a salon? *
Date or any approximate weeks
How often do you change the color of your hair? *
Every month/Every 2 months/Quarterly/Yearly
Have you used a permanent color before? *

Yes No Unsure
Was it professionally done? *

Yes No Unsure
Have you used a semi-permanent color before? *

Yes No Unsure
Was it professionally done? *

Yes No Unsure
Have you ever used henna dye? (If yes, when) *
Do you currently have box dye in your hair? (If yes, when was it applied) *
When was the last time your hair was colored? *
What shampoo, conditioner and/or styling products are you using? *
Are you pregnant? *

Yes No
Any special instructions?
Upload at least one current pic of your hair using no filters and showing length *

Cancel of
Cancel of
Upload at least one inspiration pic or pic of your #hairgoals *

Cancel of
Cancel of
Date Signed *

Month Day Year
Date
Client's Signature *

Clear
Thank you! When using online booking link, be sure to click the ⓘ for service details to ensure you're picking the correct service. Your stylist will contact you within 48 hours if your answers on this form do not coincide with the color service you book.
Should be Empty:

Now create your own Jotform - It's free! Create your own Jotform

New Color Consult Form