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COLOR INTAKE FORM

Have you colored you hair in the past 2 years for shoulder length hair or 3+ years if it's to your bra strap or longer when hair is stretched out?

Please list the dates your hair was colored, type of color (highlight, permanent, demi permanent, semi permanent, henna, overtone) and what colors (Red, Black, Purple, Blonde etc)

Have you had a permanent wave, chemical relaxer or keratin/Brazilian blow out treatment an the last 2 years for shoulder length hair or 3+ years if it's to your bra strap or longer?

Some medications and other drugs may affect hair’s receptivity to dye, like anesthesia, thyroid medications, chemotherapy, and some types of hormonal medications. Have you taken any of these medications?

Have you washed your hair recently with hard water or well water?

Haircolor Goals

Permanent color, Demi-permanent color, Grey coverage etc. or to touch up any of these services 6-8 week. maintanace $150-$250

Minimal dimensional highlights, Leaving most of your hair your natural color, Subtle dimension, Lowlights, Minimal sunkissed balayage etc. or to touch op any of these services 3-6 month maintanance $300+

Transformational Highlights, Going from mostly dark hair to lighter and brighter, Extreme blonding/color, Bleach and tone etc or to touch up any of these services 1-3 month maintanance $500+

Color correction- even out several different colors or bands in your hair. May take several appointments. charged by the hour. $100/per hour 3-8hours depending on the project

More info on haircolor goals

Please upload a current photo of your hair in good lighting

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Please upload an inspiration photo of your desired color. Please look for a pic with a similar curl pattern.

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How often do you want to be in the salon to maintain your color?

What is your budget range for color? Please note that prices listed are starting prices and will go up depending on length and thickness of your hair

If you are also getting a cut please upload an inspiration photo. Please note that pricing will increase depending on length/thickness of your hair.

Upload File

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Hair density ( do you have a lot of hair, average amount or not much etc) *

Thin ( not a lot of hair - dries fast )

Medium ( average amount of hair )

Thick ( lots of hair, long - takes longer to dry)

Thick Extra Tangly ( 15-30 minutes to detangle )

Hair length *

Hair length

Medium - From chin length to shoulder

Long - Below collar bone

Extra Long - To bra strap or below

Hair Type / Curl Pattern *

Straight

Wavy - 2A-2C

Curly - 3A-3C

Coily - 4A-4C

Where did you hear about me? Yelp, IG, Google, a friend etc

Allergic reactions may occur when haircolor is applied directly to the scalp or skin. A patch test is recommended at least 48 hours prior to any color/tint services *

I understand and waive the patch test

I will contact my service provider to schedule a patch test

Disclaimer: Pricing displayed are starting prices and may vary due to length, thickness and neccesary steps to achieve desired color. Quotes are estimates only and additional services may be needed. If you have questions regarding pricing please email me or ask during our consultation. *

I understand

Terms of service: If you fail to disclose any information about your hair that causes the service to not go as expected, there may be added fees to correct it. *

I agree

I hereby release Jennifer Freesia Warrenburg, her assistant and Studio M Salon from liability of allergic reaction or any damages. *

I agree

Signature

Thanks for submitting!

Please email me at info@jenniferfreesia.com to request your appointment

How to prep for your appointment

LOCATION

Studio M Salon

1422 Everett st

Alameda, Ca

HOURS

Tuesday 10am-6pm

Wednesday 10am-6pm

Thursday 10am-6pm

Friday 10am-6pm

CONTACT INFO

(510) 898-6655

info@jenniferfreesia.com

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