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Hair Salon Client Intake Form

Collects contact details, service preferences and hair history from someone booking a first visit. Stylists read the answers before chair time so the consultation starts with a full picture.

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Client's name

Nombre

Apellido

Date of birth

Client's phone number

Client's email address

Occupation

Select an appointment

Date

Time

Select a hair service

Haircut Hair coloring Highlights or balayage Hair treatment Styling and blow-dry Straightening or perm Hair extensions

What hair style do you like?

Upload an image of the hair style or color you prefer

Max 10 MB per file

Upload an image of your current hair

Max 10 MB per file

How often do you visit a salon for hair treatments?

Every week Once a month Every three months Twice a year Rarely

How long is your hair?

Short Chin length Shoulder length Long Very long

What is the current condition of your hair?

Healthy Dry Oily Damaged Brittle Thinning

What is the condition of your scalp?

Normal Dry Oily Sensitive Flaky or dandruff-prone

How often do you use shampoo and conditioner?

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

Have you had any of these done to your hair before?

Permanent color Bleach Keratin treatment Chemical relaxer Perm Extensions None of these

When did you last visit a hair salon?

When did you last apply professional or at-home color?

How did you hear about us?

Friend referral Social media Online search Saw the salon in the street Advertisement I am already a client

Any special instructions, comments or suggestions?

Salon policy notice

Client's signature

Sign here

Date signed

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