Name *

First Name

Last Name

Phone *

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###

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Do you have a stylist preference? *

Yes

No

Have you ever colored or chemically treated your hair at home? *

Yes

No

What is your natural texture? *

Check all that apply

Wavy

Curly

Straight

Frizzy

Fine

Medium

Corse

Thick

Thin

Do you have any grey you’re looking to cover or blend?

Yes

No