FOR NEW CLIENTS ONLY!

Name:	Date: / /	Birthday: /
Address:
City: State: Zip:
Home Phone: Cell Phone:
Cell Carrier:
E-Mail: Confirm E-Mail:
Referred by:
What is the best way to contact you? Text Message E-Mail
Do you have well water in your house?
What do you hate about your hair?
What do you want to achieve with your color?

!!!!!!!!!!!!!!!!!!!!!!!BELOW IS FOR COLORISTA ONLY !!!!!!!!!!!!!!!!!!!!!!!
CONSIDERATIONS	RECOMMENDATIONS
Hair texture	PRODUCTS
Chemically Processed/Water Deposit?	TREATMENTS $
Level of Natural hair	OTHERS
% of gray	NOTES:
Color deposit
Underlying pigments
Target shade
FORMULATION	TIME	$$$$
ROOT
SHAFT
ENDS
HIGH LIGHT
LOW LIGHT
CORRECTIVE