Hair Health Form | Vibez Beauty Bar

top of page

Vibez Beauty Bar

Home
Book Now
Gallery
Client Policies
Hair Health Form
Gift Card
Classes
Loyalty VIBEZ
Refer Friends
More

Use tab to navigate through the menu items.

Hair Health Assessment

Name

Email

Phone

How did you hear about us?

Client Referral

Google

Instagram

Facebook

TikTok

Website

Other

Age Group of Client Being Serviced? * Required

12 & Below

13-20 y/o

21-35 y/o

36-50 y/o

51 & Above

Hair Texture * Required

Relaxed

Transitioning

Natural, Type A (Straight/Wavy)

Natural, Type B (Wavy/Curly)

Natural, Type C (Curly/Tight Curly)

Just Natural

Are you in search of a long term hairstylist? * Required

Yes

No

Allergies & Medications

Photos of Hair

Upload

Tell Me About Your Hair: Overall hair health (poor, fair, good,excellent) ; Currently Experiencing any hair loss/breakage? ; When was your last cut/trim? (___ months ago) ; Are there any chemicals on your hair? (relaxer, hair color) ; Normal hair/scalp state? (normal, dry, oily) ; How often do you shampoo/condition your hair? ; What hair products do you use? Likes & Dislikes about hair? Hair Goals

Thanks for your information! I look forward to discussing future plans and treatments for you at your next appointment. See you soon!!

@ Vibez Beauty Bar, 2022

bottom of page