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**Clozo Academy Proprietary Curriculum** | Hair Salon Growth System | Templates Library | Premium Edition
Section 1: Client Information
| Field | Client Input |
|---|---|
| Full Name | _________________________ |
| Preferred Name | _________________________ |
| Phone | _________________________ |
| _________________________ | |
| Date of Birth | _________________________ |
| How did you hear about us? | [ ] Google [ ] Instagram [ ] Referral (who:_____) [ ] Walk-in [ ] Yelp [ ] Facebook [ ] Other:_____ |
| Preferred communication | [ ] Text [ ] Email [ ] Call |
| Occupation | _________________________ |
| Emergency Contact | _________________________ |
Section 2: Hair History
Current Hair Description:
| Question | Answer |
|---|---|
| Natural hair color | _________________________ |
| Current hair color (if different) | _________________________ |
| Last color service date | _________________________ |
| What was done? | [ ] All-over color [ ] Highlights [ ] Balayage [ ] Root touch-up [ ] Color correction [ ] Other:_____ |
| Last chemical service (perm, relaxer, keratin) | _________________________ |
| At-home color used in past 2 years? | [ ] Yes [ ] No. If yes, what brand/color: _________________________ |
| Hair texture | [ ] Straight [ ] Wavy [ ] Curly [ ] Coily |
| Hair thickness | [ ] Fine [ ] Medium [ ] Thick |
| Scalp condition | [ ] Normal [ ] Oily [ ] Dry [ ] Sensitive [ ] Dandruff [ ] Itchy |
| Hair density | [ ] Thinning [ ] Normal [ ] Dense |
| Current hair length | [ ] Short [ ] Medium [ ] Long [ ] Very Long |
Section 3: Lifestyle & Maintenance
Daily Routine:
| Question | Answer |
|---|---|
| How often do you wash your hair? | [ ] Daily [ ] Every 2-3 days [ ] Weekly [ ] Less than weekly |
| Do you use heat tools? | [ ] Blow dryer [ ] Flat iron [ ] Curling iron [ ] None |
| How much time do you spend styling? | [ ] Under 5 min [ ] 5-15 min [ ] 15-30 min [ ] 30+ min |
| Do you swim or exercise frequently? | [ ] Swimming [ ] Gym [ ] Neither |
| Do you spend time in sun unprotected? | [ ] Frequently [ ] Occasionally [ ] Rarely |
| Desired maintenance level | [ ] Low (wash and go) [ ] Medium (some product/styling) [ ] High (full routine) |
| Budget for home care products | [ ] Under $40 [ ] $40-$80 [ ] $80-$120 [ ] No budget concern |
| Sleep habits | [ ] Silk pillowcase [ ] Regular pillowcase [ ] Hair tied up [ ] Hair down |
| Current products used at home | _________________________ |
Section 4: Goal & Vision
Desired Outcome:
Describe your goal for today's visit:
_________________________________________________________________
_________________________________________________________________
Reference images: [ ] Uploaded [ ] Shown on phone [ ] Brought printed
Priority ranking (rank 1-5, 1 = most important):
| Goal | Rank |
|---|---|
| Change color | ___ |
| Maintain current color | ___ |
| Change cut/style | ___ |
| Maintain current cut | ___ |
| Improve hair health | ___ |
| Add length/volume | ___ |
| Reduce maintenance time | ___ |
| Prepare for special event | ___ |
What do you NOT want?
Describe any looks, colors, or styles you want to avoid:
_________________________________________________________________
_________________________________________________________________
Special event coming up?
[ ] Wedding (date: _____) [ ] Vacation (date: _____) [ ] Job interview [ ] Photos/shoot [ ] None
Section 5: Health & Safety
| Question | Answer |
|---|---|
| Allergies to hair products? | [ ] Yes [ ] No. If yes, specify: _________________________ |
| Sensitive scalp? | [ ] Yes [ ] No |
| Pregnant or nursing? | [ ] Yes [ ] No |
| Taking medications affecting hair? | [ ] Yes [ ] No. If yes, specify: _________________________ |
| Hair loss or thinning concerns? | [ ] Yes [ ] No |
| Previous adverse reaction to color? | [ ] Yes [ ] No. If yes, describe: _________________________ |
| Skin conditions affecting scalp? | [ ] Psoriasis [ ] Eczema [ ] Dermatitis [ ] None |
| Recent surgery or illness? | [ ] Yes [ ] No. If yes, describe: _________________________ |
Section 6: Consent & Permissions
| Permission | Client Initials |
|---|---|
| I consent to hair services described today | ___ |
| I understand patch test may be required for color | ___ |
| I consent to before/after photography for portfolio | ___ |
| I consent to social media use (Instagram/TikTok) | ___ |
| I want to approve photos before posting | ___ |
| I consent to SMS/email marketing | ___ |
| I acknowledge service and pricing discussed | ___ |
Stylist Notes (to be completed during consultation):
Hair analysis observations:
_________________________________________________________________
_________________________________________________________________
Recommended service plan:
_________________________________________________________________
_________________________________________________________________
Products prescribed:
_________________________________________________________________
_________________________________________________________________
Next recommended visit:
_________________________________________________________________
Stylist signature: _________________________ Date: _________________________
Client signature: _________________________ Date: _________________________
Usage Instructions
Provide form on tablet or paper before consultation begins
Stylist reviews responses before touching client's hair
Stylist notes section completed during tactile analysis
Form scanned/photographed and stored in client digital file
Update form every 6 months or before major service changes
Keep consent records for 3 years minimum
Clozo Academy Proprietary Curriculum | Unauthorized distribution prohibited