COLOR QUESTIONNAIRE

What hair color service are you interested in

What is your current hair length?

What is your hair density?

Fine

Medium

Thick

Is there permanent hair color in your hair?

Yes

No

Not sure

Do you have grey hair?

Yes

No

Are we maintaining what you already have or are we making a change?

Maintaining

Making a change

Not sure

Have you ever had an allergic reaction to hair color? Such as; itching, burning, stinging, red or dry skin?

Yes

No

Have you used any of these in your hair in the past? Please select all that apply. It is your personal responsibility to be upfront and honest about your hair history and to reveal any of the items listed below as they may cause negative reactions to salon chemical services.