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Head Spa Inquiry
Name
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Email
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Phone
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Preferred Method of Contact.
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Goals
What are your goal with this treatment?
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What is your budget range for this service?
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What kind of head spa are you looking for?
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Express
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What texture is your hair?
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Medical History
Are you currently taking any medications or undergoing any medical treatments. Please explain to your comfort level, medical history can often effect hair.
Have you experienced any changes in stress, hormones, medication, and/or major illness recently? If so please explain that here
Hair History and Condition
Do you have any known allergies or sensitivities we should be aware of?
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Are there any other lifestyle factors you think may be effecting your hair you think we should know about?
Do you have any other questions or concerns you'd like addressed before your appointment?
When are you available? Our team will reach out to get you scheduled. (please select all that apply)
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Any Day/Time
Sunday Morning (11-2)
Sunday Afternoon (2-6)
Monday Morning (9am-12pm)
Monday Afternoon (12pm-5pm)
Monday Evening (5pm-8:30pm)
Tuesday Morning (10am-12pm)
Tuesday Afternoon (12pm-5pm)
Tuesday Evening (5pm-7:30pm)
Thursday Morning (10am-12pm)
Thursday Afternoon (12pm-5pm)
Thursday Evening (5pm-7:30pm)
Friday Morning (10am-12pm)
Friday Afternoon (12pm-5pm)
Friday Evening (5pm-7:30pm)
Saturday Morning (10am-12pm)
Saturday Afternoon (12pm-5pm)
Saturday Evening (5pm-7:30pm)
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