Hair Colouring Consultation Form
Hair Colouring Consultation Form

There are no right or wrong answers, please give as much detail as possible if you have coloured your hair. This is purely to try and make booking appointments simpler.

As soon as I have confirmation of who will require skin testing, I will be arranging for a drop in day, this will be prior to your appointment.

Skin tests will be mixed up by myself and full instructions given on how to apply (I will only be 2 metres away to observe it is applied correctly).

This way, I can ensure we are ready to go after the 48 hours wait. Please ensure your contact details are correct so that I have all information I need for Covid19 track and trace. (To check what salon procedures are going to be in place please visit our website - www.gayatribeautyclinic.com).

COVID-19 screening questions to be answered accurately. If you have any of the symptoms, however mild, you should stay at home and reschedule your appointment.
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Email *
Full Name *
Contact Number *
Have you had the recent on set of a new continuous cough? *
Do you have a high temperature? *
Have you noticed a loss of or change in normal sense of taste or smell? *
To your knowledge have you been exposed to anyone with Covid-19 in the past 14 past? *
Since your last appointment at Gayatri Beauty Clinic, have you applied any other colour product to your hair? Either temporary or permanent? *
If you had applied a colour since your last visit please give more details. E.g if it was root colour, full head colour, date, name of colour, colour brand and how many times. If not please answer as ‘no’ *
Do you have any concerns regarding your hair that you feel may be relevant to your next appointment? This could include any colour changes at your next appointment. *
Please let us know which colour service you would like to book in for? *
Have you had any allergic reaction to anything since your last colour appointment? If yes, please give details. *
A copy of your responses will be emailed to the address you provided.
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