New Client Info

Please fill this out to the best of your ability!

First Name

Last Name

Phone

Email

Preferred Appointment Day

Preferred Appointment Time

Have you ever had:

Permanent Colour

Keratin Smoothing/Straightening

Box colour

Henna or Vegetable Dye

Bleach Highlights

When and what was your last colour service?

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

Are we adding a haircut to your colour service?

Yes

No

Budget Expectations

How frequently do you plan to come in to maintain your hair?

What products (shampoo/conditioner) are you using at home?

How were you referred to Kymm?

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