Client Intake Form

This is the first step to determining exactly what YOUR Hair Care needs are!
Once completed & reviewed, you will be contacted to schedule a Virtual Consultation (15-30 min session).

First Name

Last Name

Contact Number

Occupation

Birth Date

Upload photos of current hair state. Hair should be hydrated, fluffed out with minimal product. Max file size, 1MB each.

FRONT VIEW

SIDE VIEW

BACK VIEW

List ALL Hair Products Currently Used (Product Names, Product Purposes, Frequency of Use)

List ALL Current hair/Hot tools (Names, Purposes, Frequency of Use)

How do you usually style your hair at home/for work?

Hair Desires or Expectations you would like to achieve (Photo Inspiration)

What hair improvements would you like to experience?

Approximate budget for hair care needs (Price range TTD)

Consultation Availability

Weekday Morning Weekday Afternoon Weekday Evening Weekends

Referral Source

Current Client Website Instagram Facebook Google Internet Search Instagram TikTok Twitter Other

Questions/Special Instructions/Comments/Suggestions?

* All data collected will remain private and confidential.

ALMT Group Limited

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