Hair Color Consultation Form

Client Information

Client Name *

Phone *

Email *

Address

Date of Consultation

Appointment Date (if set)

Before Photos

Upload Before Photos (Front, Back, Roots)

I permit Dinah Lefranc to view these photos

Inspiration Photos

Upload Inspiration Images

Or Links

I permit Dinah Lefranc to view these inspiration photos

Current Hair

Natural / Current Color

Last Color Service (type / date)

Last Bleach / Lighten (date & level)

Current Length

Texture

Pattern

Condition (check all that apply)

Healthy Dry Damaged Porous Chemically processed Frizzy Split Ends

Detailed Hair History

Chemical History

Bleach Highlights Balayage Permanent Color Relaxer/Perm Keratin/Straightening

Details

Previous Correction Work?

Ever Had Adverse Reaction to Color?

Correction Details (if yes)

Reaction Details (if yes)

Daily Haircare & Lifestyle

How Often Do You Cleanse?

Last Protein Treatment

Last Hydration Treatment

Last Moisture Treatment

Last Trim / Cut

Heat Styling Frequency

Products Used

Color-safe shampoo Clarifying shampoo Sulfate-free Purple/Toning Dry shampoo Mask/Treatment Bond Builder (Olaplex)

Styling Methods

Swim Frequency

Chlorine / Salt Exposure?

Sleep Habits

Health / Allergies / Medical

Scalp / Skin Allergies?

Medications / Conditions?

Allergy Details

Medical Details

Last Dermatologist Visit

Patch / Strand Test

Mandatory Strand Test Acknowledgment

Desired Result

Change Requested

Root touch-up All-over color Highlights / Lowlights Balayage / Ombré Coiffed Color Melt Color correction Flossy Glossy

Desired Tone

Warm Neutral Cool Ash Golden Red Vibrant / Fashion

Maintenance Preference

Open to Staged Sessions?

Willingness for Multiple Sessions

Budget Range

Preferences & Expectations

Change Level

Roots Grown-In Okay?

Flossy Glossy Maintenance

What Do You Love About Your Current Hair?

What Don't You Like About Your Current Hair?

Must-Have Tones

Must-Avoid Tones

Scheduling & Communication

Preferred Days

Weekday mornings Weekend mornings

Preferred Times

Reminder Preference

Upcoming Events

Wedding Photoshoot Vacation Birthday

Other Event

Photos / Social Media

Permit Before Photos?

Permit After Photos?

Allowed Use

Social Media Website / Portfolio Printed materials Educational

Client Review Step

Terms & Signature

I affirm that the information provided is true and acknowledge all risks involved in chemical services. I understand the need for a mandatory strand test and agree to follow aftercare recommendations.

Client Signature (type full name) *

Date *