Hair salon consultation form

Name *

First Name

Last Name

Phone *

(###)

###

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What service are you looking to book? *

Grey Coverage

Highlights

Lived in Color

Haircut

Extensions

Other

Are you happy with your current hair style?

Yes

No

How often do you prefer to visit the Salon?

Every 4-6 weeks

Every 8-10 weeks

Every 12-14 weeks

Every 6 mo+

When was your last in salon service?

MM

DD

YYYY

Describe the status of your scalp.

Dry

Normal

Oily

Not sure - I'd like to discuss with my stylist

Is there permanent color in your hair?

Yes

No

Do you have grey hair you are looking to cover?

Yes

No

Do you suffer from any of the following?

Hair Loss

Damage due to heat

Breakage

Itchy Scalp

Dandruff

No Current Concerns

Please check if you have EVER put the following in your hair *

Check all that apply

Brazilian/Keratin Treatment

Henna

Stripped Color/Color Remover

Vegetable Dye

Sun In

At Home Bought Color

Perm

None of the above

How did you hear about us?

Instagram

Google Search

Referred by a friend

Driving by

Other

Are you currently on, or have you been on Accutane in the past six months? *

Yes

No

Are you currently on, or have you been on RhoGAM in the past six months? *

Yes

No

Our cancelation policy is 24 hours. If guests no show or cancel after 24 hours we charge 50% of the service in salon and nail department 100% for spa services. *

I understand and accept SALT's cancellation policy

Would you like to experience our SALT Room (Halotherapy) at 50% off?

If time allows, with SALT's schedule, we would be happy to have you visit our SALT room before or after your hair service for this one time offer.

Yes

No thank you

Do you want assistance downloading our SALT App?

Here you can book appointments, cancel appointments and review your history at SALT.

Yes

No thank you

Do you give SALT permission to use any photo images on social media? *

Yes

No

This form does not replace an in person consult. This is to give your stylist necessary information to better serve you day of your appointment *

Yes, I understand

If your color/blonding service is reserved as an "Advanced Model", your service is non-refundable.

Yes, I understand

I will call the salon at 952-300-2153 when form is completed to ensure submittal.

Yes