New Client Questionnaire

Hello!


We’re so glad you’re here. You’re in great hands!
Before we set off on your journey into whole beauty, we’d love to know a little bit about you so that we can best tailor your treatments to get the results you seek.


Our top priority is to rejuvenate your scalp and hair, and help you shine.

ALL ABOUT YOU

How would you describe the texture or overall feel of your hair? (Select all that apply)
My main hair woe is... (Select all that apply)
Does your scalp currently have any of the following? If yes, list any topical or oral medications you have used.
How do you wear your hair every day?

How often do you do the following? (No judgment, we promise.)

Shampoo and Condition
Leave-in Conditioner
Blow Dry
Hair Straightener or Flat Iron
Professional Scalp Treatment
Color
Braiding
Hair Extensions
Haircut
Which is your preferred scent of essential oils?
Which do you prefer?
Which of the following best describes your desired hairstyle?
How did you hear about us?

Form submitted - thanks for sharing! We are excited to help you look and feel your best.

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424.326.9090

 

10881 W. Washington Blvd

Ste 202, Culver City, CA 90232

 

Thu, Fri and Sat:  9.00am - 6pm

By online appointment only

WEB DESIGN BY BEAR IN MIND CREATIVE