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Hair Stylist Acuity Scheduling Template
Hair Stylist Acuity Scheduling Template
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Roots & Glow

New Client Consultation Form

Personal Information

Birthday:
Month
Day
Year

Hair & Scalp History

What is your natural hair type?
Straight
Wavy
Curly
Coily and/or Kinky
What is your current hair length?
Short
Medium
Long
What is your hair density?
Thin
Medium
Thick
Do you have any scalp conditions?
What services have you received in the past 6 months? (Check all that apply.)

Nail Health & Services

What is your natural nail condition? (Check all that apply.)
Have you had a gel manicure before?
YES
NO

Service Selection

Health & Lifestyle Considerations

Are you taking any medications that impact hair and/or nail growth?
YES
NO
How often do you exercise and/or sweat in your scalp?
Rarely
Occasionally
Daily
Heavy Sweating

Terms & Agreement

I acknowledge that I have provided accurate information. I understand that Roots & Glow professionals will use this information to provide the best service tailored to my needs. I agree to follow all aftercare recommendations to maintain my results.


Additionally, I understand that the contact information I have provided (email and/or phone number) may be used for marketing purposes, including promotional offers, service updates, and exclusive client communications. I acknowledge that I have the option to opt out at any time by following the opt-out instructions provided in the marketing materials.


Furthermore, I give Roots & Glow permission to use photos and videos taken during my service for marketing and promotional purposes, including but not limited to social media, websites, advertisements, and printed materials. I understand that these materials may be used publicly to showcase the work and services provided by Roots & Glow. If I do not consent to media usage, I will inform the service provider before my appointment.

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  • TikTok
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