JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Client Intake form for Enviiri Salon
Welcome to Enviiri Salon
Please help us serve you by completing the client information form.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
Address
*
Your answer
Phone Number
*
Your answer
Email
*
Your answer
How did you learn about Enviiri?
Social media (Facebook, Instagram, etc)
Friends/Family
Google
Other:
Clear selection
How often do you go to a salon?
At least once a week
1-2 times a month
Rarely (once every three months)
Other:
Clear selection
How long is your hair?
Long
Medium
Short
Clear selection
What is the current condition of your hair? Any hair loss, split ends, itchy scarp, dandruff, damage, breakage, dry?
Your answer
What is the condition of your scalp? Dry, oily, or normal?
Dry
Oily
Normal
Sensitive
Clear selection
How often do you shampoo and condition your hair?
Your answer
Have you used any of the following before? Check all that apply.
Color
Henna
Relaxer
When did you last visit a hair salon?
Your answer
When did you last apply color to your hair?
Your answer
What products do you use?
Your answer
What are you most concerned about?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
