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New Client Consultation Form
Hi there, please fill out and submit this form upon consultation with your guest.
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1
Client's Name
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First Name
Last Name
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2
How did your client find out about us?
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Referral from a friend/family member
Referral from their stylist
Google
Yelp
Instagram
Facebook
Our website
YouTube
Visited Our Hillcrest Location
Other
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3
What is the client's hair texture?
*
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how does the hair feel?
soft
medium (not particularly soft or rough)
coarse/rough
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4
What is the client's hair density?
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how thick is the client's ponytail?
fine
medium
thick
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5
What curl levels does your client have when they let their hair naturally air dry?
*
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1-3
2-4
3-5
4-6
5-7
6-8
7-9
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6
How does your client usually style their hair?
*
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blowdry
blowdry and flat iron/curl
air dry
air dry and flat iron/curl
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7
How does your client air dry their hair?
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Washes in the morning/afternoon and dries throughout the day
Washes at night and sleeps on their hair wet
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8
Please remind your client that all of our treatments are heat activated and they will need to blow dry their hair to see the best results. Do they understand this?
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YES
NO
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9
How frequently does your client wash their hair?
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every day
every other day
every third day
every fourth day
every fifth day
every sixth day
every seventh to tenth day
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10
Does your client have a lifestyle that may stunt a treatment's lifespan?
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select all that apply
swimmer (salt water/pool water)
frequent washer (1 or more times a day)
physically active (sweating/washing frequently)
use a sauna or steam room
they highlight or lighten their hair color
they are using improper hair products at home
they do not partake in any of these
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11
If your client has any build up in their hair it would be in their best interest to add on the K18 Chelating Complex to properly detox their hair before the service to ensure the best and longest lasting results possible. It is a $20 add on that will not add any additional time to their service. Does your client wish to add this treatment on today?
*
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YES
NO
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12
Does your client struggle with scalp dryness/sensitivity?
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YES
NO
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13
Please inform your client about the benefits of adding a scalp treatment (Leaf & Flower) to their service today and why you would recommend it for them. Is your client interested in adding a scalp treatment for $55 on to their service today?
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YES
NO
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14
What condition is your client's hair in?
*
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select all that apply
healthy
has dryness
has split ends
compromised/breakage
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15
Please inform your client about the benefits of adding a bond rebuilder (K18 or B3) to their service today and why you would recommend it for them. Is your client interested in adding a bond rebuilder on to their service today?
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YES
NO
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16
Why have you decided not to add a bond re-builder to your service?
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17
Do you believe that your client's hair is too compromised to handle a smoothing treatment?
*
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YES
NO
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18
I release The Smoothbar and my technician from any responsibility and/or liability concerning my hair’s health. I consent to have a smoothing treatment done to my hair and understand that smoothing services can have a varying results based on my individual hair type and the condition that it is in. I understand that the smoothing process may cause damage to the integrity of my hair and may emit small traces of formaldehyde. There are products recommended to improve the health of my hair as well as maintain the results after the service. I am aware that my technician has been trained in the service technique and that they will do their absolute best to create the best result and therefore as an ongoing basis, I release and hold The Smoothbar, it’s employees and it’s agents harmless against any and all liability, damage, and/or expenses arising out of or in connection with actions, claims and/or damages that I might incur as a result of the chemical altercation through the smoothing treatment process performed on my hair.
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19
Does your client have any allergies or are they sensitive to any known products?
*
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YES
NO
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20
I understand that all the treatments offered at The Smoothbar contain chemicals that may cause skin irritation. I am aware that my technician has been trained in the service technique and that they will do their absolute best to create the best result and therefore as an ongoing basis, I release and hold The Smoothbar, it’s employees and it’s agents harmless against any and all liability and/or expenses arising out of or in connection with actions, claims and/or damages that I might incur as a result of the chemical altercation through the smoothing treatment process performed on my hair. If I begin experiencing discomfort or have a reaction while the service is being performed I will notify my technician immediately. If I notify my technician that I am having an adverse reaction we will immediately stop the service and rinse out any remaining product in the hair to stop the reaction. I consent to paying for my service today due to the labor, time and product that was used for me, even if we have to stop the process due to an adverse reaction.
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21
Does your client have extensions in their hair today?
*
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YES
NO
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22
I release The Smoothbar and my technician from any responsibility and/or liability concerning my extensions. I consent to have a smoothing treatment done to my hair and understand that smoothing services can have a varying results based on my individual hair type and the condition that it is in. I understand that the smoothing process may cause damage to the integrity of my hair and my extensions and may emit small traces of formaldehyde. There are products recommended to improve the health of my hair as well as maintain the results after the service. I am aware that my technician has been trained in the service technique and that they will do their absolute best to create the best result and therefore as on ongoing basis, I release and hold The Smoothbar, it’s employees and it’s agents harmless against any and all liability, my extensions falling out, damage, and/or expenses arising out of or in connection with actions, claims and/or damages that I might incur as a result of the chemical altercation through the smoothing treatment process performed on my hair and my extensions. I also understand that the attachment point where the extensions and my natural hair meet will not be affected because we are unable to flat iron that section to activate the product.
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23
Has the client had a smoothing service before?
*
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YES
NO
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24
Was there anything that your client did not like about their last treatment?
*
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YES
NO
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25
What did your client not like about their last treatment?
*
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select all that apply
they were left with very little volume
they had significant curl reduction
their curl was unaffected/ did not relax their curl as much as they had hoped for
they still had to heat style it to obtain their desired result
they were left with their natural volume
it did not last as long as they expected
their hair felt dry afterward
their texture was unchanged
they felt like their scalp became oily faster
they noticed dryness on their scalp
they experienced breakage/damage
the treatment changed their hair color
other
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26
What is your client hoping to get out of their smoothing treatment today?
*
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select all that apply
they are not intending on heat styling their hair after the service
no frizz
straight hair
0-1 levels of curl reduction
1-2 levels of curl reduction
2-3 levels of curl reduction
maintain their curl
keep their natural volume
make their hair flatter
add hydration
repair the hair
faster blowdry/styling time
no downtime
soften their rough texture
permanent results
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27
What is the most important to your client?
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(all treatments will deliver frizz reduction)
#1 they do not intend on heat styling their hair after the service is complete
#2 maintain their volume
#3 maintain 100% of their curl
#4 they can not have a downtime
#5 relax their curl and volume as much as possible
#6 have the longest lasting results as possible
#7 soften their rough texture/ extreme hydration
#8 relax 0-1 levels of curl
#9 relax 1-2 levels of curl
#10 relax 2-3 levels of curl
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28
How many treatments will your client need to do with in a 10 week time frame to achieve the results they are wanting?
*
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1 treatment
2 treatments
3 treatments
4 treatments
5 treatments
6 treatments
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29
#1 Brazilian Blowout or the Super Smooth Treatment will get them the closest to their wishes BUT these services still require a blow-dry after every wash to maintain frizz free and straightest results
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If you have decided to offer this client a different treatment, please explain why and include any other additional notes you may have about this client.
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30
#2 Adorn, Brazilian Renewal, or Extreme Renewal may be best for this client's desired results. These treatments all contain collagen which will help maintain their natural volume and body.
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31
#3 Super Curly may be the best for this client's desired results. This service will help to reform the natural curl pattern and eliminate frizz.
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32
#4 Pure Brazilian, Brazilian Blowout, Brazilian Renewal, Super Curly, Super Blowout, Super Smooth, or Smoothbar Signature may be best for this client's desired results. All of these treatments do not have a down time.
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33
#5 Chocolate or Brazilian Blowout may be best for this client's desired results. Both of these treatments deliver 2-3 levels of curl reduction as well as maximum volume reduction.
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If you have decided to offer this client a different treatment, please explain why and include any other additional notes you may have about this client.
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34
#6 The Super Smooth Treatment may be best for this client's desired results. This treatment is designed to be permanent but will need to retouch the root area as the hair grows. It would be in your client's best interest to also purchase products that will support the treatments and space out their washes for a longer lasting result.
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If you have decided to offer this client a different treatment, please explain why and include any other additional notes you may have about this client.
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35
#7 Global Keratin or Extreme Renewal may be best for this client's desired results. All of these treatments are hydrating and aid in softening coarse and rough textures. Extreme Renewal is the MOST hydrating smoothing treatment we offer.
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36
#8 Adorn, Global Keratin Curly or the Super Curly may be best for this client's desired results. All of these treatments deliver 0 - 1 levels of curl reduction.
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37
#9 Global Keratin, Super Blowout or Pure Brazilian may be best for this client's desired results. All of these treatments deliver 1 - 2 levels of curl reduction.
*
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If you have decided to offer this client a different treatment, please explain why and include any other additional notes you may have about this client.
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38
#10 The Chocolate, Brazilian Blowout, Brazilian Renewal, Extreme Renewal, Smoothbar Signature or the Super Smooth treatment may be best for this client's desired results. All of these treatments deliver 2 - 3 levels of curl reduction.
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39
Is your client going against your professional recommendation on what service would best suit their needs?
*
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YES
NO
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40
I release The Smoothbar and my technician from any responsibility and/or liability concerning my hair’s health and results of the service I have chosen. I consent to have a smoothing treatment done to my hair and understand that smoothing services can have a varying results based on my individual hair type and the condition that it is in.I understand that the treatment that I have chosen goes against The Smoothbar’s professional recommendation to achieve the results I want. I understand that the service that I have chosen will not accomplish my personal hair goals today but I choose to have the service done anyways. I understand that the smoothing process may cause damage to the integrity of my hair and may emit small traces of formaldehyde. There are products recommended to improve the health of my hair as well as maintain the results after the service. I am aware that my technician has been trained in the service technique and that they will do their absolute best to create the best result and therefore as an ongoing basis, I release and hold The Smoothbar, it’s employees and it’s agents harmless against any and all liability, damage, and/or expenses arising out of or in connection with actions, claims and/or damages that I might incur as a result of the chemical altercation through the smoothing treatment process performed on my hair.
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41
What treatment did you decide on?
*
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Chocolate
Brazilian Blowout
Extreme Renewal
Brazilian Renewal
Pure Brazilian
Global Keratin
Global Keratin Curly
Adorn
Super Smooth
Super Curly
B3 (A La Carte)
Super Blowout
Leaf and Flower (A La Carte)
The Smoothbar Signature
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42
Do you believe your client may be a candidate for an extra charge based on the assessment of the hair?
YES
NO
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43
Our service pricing policy is as follows "Your appointment time starts at the time you are scheduled. It is $250 for a non-permanent smoothing service with a two-hour minimum. $450 for the Super Smooth with a three-hour minimum. If your service exceeds the minimum booking time, you will be charged $60 per 30-minute increments. The B3 and Leaf and Flower add-on services are $65 and will include 30 minutes of additional time to your service. The K18 repair spray add-on service is $35 and will not require any additional time for your booking. The K18 chelator add-on service is $20 and will not require any additional time for your booking." If you understand and agree to our pricing policy please sign your name below.
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44
Upload Client's Before Pictures
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45
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