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Name (a. As the Government knows you b. How you prefer to be addressed) / Phone # / Birthday (Month, Day)
*
Emergency Contact / E.C. Phone # / Known allergies / Sensitivities to (fragrances , chemicals, etc.)
*
What is you favorite Song / Book / Movie / TV Show etc. ?
Who is / are your celebrity hair Inspiration (s) ?
Beverage of choice
Water
Coffee
Tea
Soda
Other
If you would like Coffee or Tea, how do you take it? (I have Non-Dairy creamer, Splenda, Sweet & Low, Stevia, and Sugear In the Raw) If you cose "Other", What do you like?
Would you prefer your beverage of choice to be ready for you when you arrive?
That would be great!
I prefer to wait.
Other
Would you prefer casual conversation or would you prefer a "Quiet Appoimtment" where conversation is limited to only what is necessary to perform services. (Option to choose later is available)
*
I like to chat
Silence is Golden
I prefer to chooose in the moment
Are there any particular concerns, wishes, curiosities, or anything else pertaining to your hair that you would like me to know / answer?
Are there any particular concerns, wishes, curiosities, requests, or anything else not necessarily pertaining to hair that you would like me to know / answer?
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