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Head Spa Intake
To help me better understand your needs prior to our time together I have a few questions that will help us get off to a great start in your scalp care journey
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First & Last Name
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
How did you hear about my services?
Your answer
What is your current scalp care routine. Include all shampoos, conditioners, and styling products
*
Your answer
What concerns are you looking to address during your service?
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Your answer
Do you have any allergies to aromatherapy oils, lotions, or ingredients in hair/ skincare products?
*
Yes
No
If Yes please list all allergies below
Your answer
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