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Hair Color Consultation Form – Dinah Lefranc
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Hair Color Consultation Form – Dinah Lefranc

Hair Color Consultation Form – Dinah Lefranc

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? If yes, details Ever had adverse reaction to color? If yes, explain

Daily Haircare & Lifestyle

How often do you cleanse? Last Protein Treatment Last Hydration Treatment Last Moisture Treatment Last trim/cut Products used

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

Heat styling frequency Styling methods Swim frequency Chlorine/salt exposure? Sleep habits

Health / Allergies / Medical

Scalp/skin allergies? Details Medications/conditions 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 Upcoming Events

Wedding Photoshoot Vacation Birthday

Other event Reminder preference

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*

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Dinah Lefranc

Hairstylist Servicing Houston and New York

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