MisfitCurls, Hair by Missy Secore

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

MisfitCurls, Hair by Missy Secore
13453 S Belcher Rd
Largo, Florida
Call (904) 347-5132