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MisfitCurls, Hair by Missy Secore
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New Clients
Name
Email
Phone Number
Birthdate
Occupation
May we text you?
Yes
No
Have you had any of the following? Perm, body wave, relaxer, keratin treatment,
If yes, when?
Do you currently, (or plan to in the near future)
Color
Highlight
Straighten
Please list all current products you are using: (shampoo Conditioner Stylers (gel, mousse, cream, serum etc)
How frequently do you shampoo?
May we do BEFORE and AFTER pics?
Yes
No
Do you authorize us to use them for promotional purposes (website, social media, etc)
Yes
No
Are you familiar with the curly girl/guy method?
Yes
No
If yes, how long have you been CG?
Any known allergies?
Yes
No
If yes, please list
Outdoor activity and frequency.(beach, sports motorcycle etc.)
What brings you in (concerns, goals etc)
How did you find me?
Google
Devacurl
Rezo
Ecoslay
Social Media
Friend
Other