- New Client

*NOTICE* You will be required to secure your appointment with a credit card when we contact you to confirm your appointment. Your credit card will not be charged(50% of service cost) if you cancel 24 hours prior to your appointment.

Please read BBS Guidelines before continuing, then fill out Consultation Form below and we will contact you ASAP. Thank you and have a great day.

First Name
Last Name
Email Address
Phone
Birthday
Referred By:
Hair Texture	Fine Medium Coarse
Hair Type	Type 1(Straight) Type 2(Wavy) Type 3(Curly) Type 4(Coily)
Density	Thin Medium Thick
Natural Hair Color	Black Darkest Brown Ash Brown Warm Brown Light Brown Dark blonde Medium Blonde Lightest Blonde Auburn Red
Percentage of Gray	White Salt and Pepper White Edges/Patches 1-25% Evenly Dispersed 25-50% Evenly Dispersed None
Hair Condition	Normal Dry Oily
Hair Health	Normal Minor Breakage Major Breakage Hair loss(thinning in scalp)
Color Treatments (within the last year)	Semi-Permanent Demi-Permanent Permanent Highlights Bleached None
Last Relaxer	Under 1 Month Over 1 Month 2 Months or More Over a year Completely Natural
Chemical Regimen (within the last year)	I have let someone other than a professional put chemicals in my hair within the past year I always let a professional apply any chemical to my hair
Heat Regimen	Three or more times a week Twice a Week Once a Week Never
Nightly Regimen	I wrap my hair with a satin scarf I put a satin bonnet over my hair I let my hair fall loosely over my satin pillow case I pin curl my hair I use rollers I pin it up or put it in a ponytail I usually don't do anything
Style Regimen	I usually wear it curly I usually wear it straight I usually wear protective styles(no heat)
Cleansing Regimen	I shampoo once a week I shampoo more than once a week I shampoo every two weeks I shampoo every three or more weeks
Length Preference	I think I look better with short hair I think I look better with long hair I think I look better with shoulder length hair
Style Preference	I consider myself more on the conservative side I prefer to stick with a style I like I like to try new things within reason I like to get a little crazy with my hair sometimes
Personal Product Brands (e.g. Shampoo, Conditioner, Gels, Hair Spay, Oils, Other)
Hair Satisfaction	I usually like the way my hair looks I am sometimes frustrated with the way my hair behaves I am completely unsatisfied with my hair
Extension Preference	I do not like to wear extensions I do not mind adding pieces for fullness or a little bit of length I prefer to wear weave most of the time
What do you like and dislike about your hair?
What is your desired look?
What is your desired main appointment service	Hair Cut/Style Protective Style(no heat) Color Relaxer Extensions
What is your desired appointment day?	Tuesday Wednesday Thursday Friday Saturday
What other days are you available (Please list dates)?
During what times are you available?	9-11:00 AM 11AM-1:00 PM 1-3:00 PM
Is there any additional information you would like to add?
I have answered all questions honestly and to the best of my knowledge and have read the BBS guidelines and agree to the terms.	Yes
	Submit Request

Becoming Beauty Salon

Helping You Become Your Potential

CONTACT US
WEB STORE

Becoming Beauty Salon

Helping You Become Your Potential

CONTACT USWEB STORE

CONTACT US
WEB STORE