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Hair History Questionnaire

A questionnaire that reconstructs a client's hair journey before the first appointment. It covers style inspiration, washing and mask routine, chemicals applied in the past, current medication and the products sitting in the bathroom cabinet. With that history the stylist can propose a realistic, tailored plan.

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Client's name

Nombre

Apellido

Client's phone number

Client's email address

Occupation

Date of birth

What is your hair inspiration?

If you like, upload an image of hair you admire

Max 10 MB per file

Tell me something about your hair

To prepare for your appointment and record your progress, upload an image of your hair today

Max 10 MB per file

Do you use masks or similar treatments, and how often?

Weekly Every two weeks Monthly Occasionally Never

How long is your hair?

How often do you shampoo and condition your hair?

Daily Every other day Twice a week Once a week Less often

What is the current condition of your hair?

Healthy Dry Oily Damaged with split ends Colour treated Thinning Frizzy

Have any of these been used on your hair?

Permanent colour Semi-permanent colour Bleach Relaxer Perm Keratin treatment Henna

When did you last visit a hair salon?

When did you last apply colour, at a salon or at home?

Are you taking any medication? List it here, or leave the field empty

Would you be interested in using professional hair care products at home?

Yes, very much Maybe, I would like more information I already use them Not interested

How did you hear about me?

Referred by a friend Social media Web search Walked past the salon Advertisement I am a returning client

Any special instructions, comments or suggestions?

Client signature

Sign here

Date signed

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