LOVE YOUR HAIR! Hair Consultation Form Our hair consultants will get back to you soon! First Name Last Name Email Phone Number Have you ever seen a Studio417 stylist? Yes No If Yes, who? (If you don't know, no problem!) If Yes, when did you last visit the salon? (Approximate date is fine!) What is your current hair length? How would you describe your scalp? How would you describe the current condition of your hair? Shampoo frequency: How would you describe the natural texture of your hair?* Straight Wavy Curly How would you describe the density of your hair?* Fine Medium Thick Super Thick Are you currently taking any medication that has side effects that can cause hair thinning and/or hair loss?* Yes No Do you have now, or have had in the past, any problems with hair loss?* Yes No Do you have professional color on your hair at this time? Yes No Do you have unprofessional (at home) color on your hair at this time? Yes No When was the last time you colored your hair? Did your last color service take place in a salon? Yes No Please describe your last three hair services (Ex. Haircut in April, highlight and cut in July, haircut in September) What products are you currently using at home (shampoo, conditioner, treatments, styling products)