Japanese Hair Straightening Pre-Consultation Questionnaire

Your Name *

Your E-Mail *

Your phone number *

How do you prefer to be contacted? *By phoneBy email

Do you colour your hair? *YesNo

If you colour your hair, do you colour it at home or in a salon?At homeIn a salon

Is the colour lighter or darker than you natural hair colour?I colour my hair LIGHTER than my natural shadeI colour my hair DARKER than my natural shade

Have you had foils or highlights in the last 12 months? *YesNo

Have you ever had a permanent straightening treatment in the past? *YesNo

If you answered yes to a previous straightening treatment, when was your last treatment

Have you ever had a Keratin Smoothing Treatment? *YesNo

If you answered YES, how long ago did you have the Keratin treatment

What days and times are best for you to attend our salon in Potts Point for a consultation? We are open 7 days. *

1 + 1 = ?Please prove that you are human by solving the equation *