Color Consultation

LIFE IS BETTER IN COLOR

Hair color is an art, and our highly trained team uses the latest in industry techniques and artistry to personalize each color. This form allows our stylists to assess your hair goals and what it will take to achieve them—so please be as detailed as possible! Afterwards, our team will be in touch to schedule your appointment if needed.

New to Ruiz Salon? Don’t forget to fill out the New Guest Form and download your $20 gift!

ABOUT YOU

Let’s get to know each other.

Name(Required)

First Last

Date(Required)

MM slash DD slash YYYY

Mobile Phone(Required)

Email(Required)

My preferred location:(Required)

West End

Seaholm

I need to:(Required)

Schedule a consultation

Submit this form for my booked appointment

My appointment is on:(Required)

MM slash DD slash YYYY

I prefer:(Required)

Call Mobile Phone

Text Mobile Phone

ABOUT YOUR CURRENT HAIR

What are you hoping to achieve with your hair color visit?

On a scale of 1-10 (10 = drastic) how big of a change are you wanting from this Color visit? Will you be changing your haircut as well? Are you considering Extensions?

How long is your hair?(Required)

Pixie

Short

Medium

Long

Extra Long

Describe your natural hair (color, texture, shape, etc.)(Required)

How would you describe the condition of your hair?(Required)

Healthy

Thick

Fine

Slightly Damaged

Somewhat Damaged

Very Damaged

Have you had your hair colored professionally before?(Required)

Yes

Have you ever used boxed color?(Required)

Yes

If yes, when and which brand of non-professional color used:

Do you have any known scalp or skin allergies or irritations we should know about?(Required)

Let us see you!

Send us a current selfie of your hair (preferably the front, back and sides).

Drop files here or

Accepted file types: jpg, png, gif, Max. file size: 5 MB.

Hair History

Your hair has a story to tell.

Chemical Service

(Required)

Have you had a chemical process performed on your hair in the past 3 years:

Permanent Wave?

Permanent Wave?(Required)

Yes

If so, when?

Chemical Relaxing?

Chemical Relaxing?(Required)

Yes

If so, when?

Bleaching
(including highlights/balayage)?

Bleaching (including highlights/balayage)?(Required)

Yes

If so, when?

Is this a Color Correction?
*Please note, for corrective color, please be aware that 2-3 visits may be required to achieve the desired results and rebuild the hair’s integrity.

Is this a color correction?(Required)

Yes

Other

Medical History

(Required)

Are you taking, or have you, in the last 6 months, taken any of the following medications or treatments?

Chemotherapy

Chemotherapy(Required)

Yes

If yes, when?

Thyroid Medicine

Thyroid Medicine(Required)

Yes

If yes, when?

Blood Pressure

Blood Pressure(Required)

Yes

If yes, when?

Hormone Replacement Therapy

Hormone Replacement Therapy(Required)

Yes

If yes, when?

Any known allergies?

Any Known Allergies?(Required)

Yes

Please list known allergies:

Any known skin or scalp irritations?

Any known skin or scalp irritations?(Required)

Yes

Please list known skin or scalp irritations:

Other

Lifestyle

(Required)

Swim on a regular basis

Swim on a regular basis(Required)

Always

Sometimes

Never

Use well water or water softener

Use well water or water softener(Required)

Always

Sometimes

Never

Color Safe Shampoo + Conditioner

Color Safe Shampoo + Conditioner(Required)

Always

Sometimes

Never

Intensive Treatment Conditioner

Intensive Treatment Conditioner(Required)

Always

Sometimes

Never

Thermal Protectant

Thermal Protectant(Required)

Always

Sometimes

Never

Sun Protectant

Sun Protectant(Required)

Always

Sometimes

Never

ABOUT YOUR DREAM HAIR

I want to make a change to my hair color because:(Required)

Since hair is constantly growing, hair color needs touch ups. Which of the following best describes your ideal color maintenance schedule?(Required)

None, I just want one color session.

Color every 6+ months

Color every 3 months

Color every 4-6 weeks

2-3 weeks

I’ll do what it takes to maintain my do’

Which stylist would you prefer for your service?(Required)

Fill in the blank for stylist name

Match me to a stylist

Preferred Stylist Name:

Show us your inspiration and upload them below.

Upload photos of your ideal color!

Drop files here or

Accepted file types: jpg, png, gif, Max. file size: 5 MB.

Tell us why you love this color.(Required)

Finishing Touch

All color services include a Natural Texture Blow Dry to see the results of the color service. Upgrade to a Full Professional Blow Dry for a more polished look (for a night out).

(Required)

Natural Texture Blow Dry (complimentary)

Full Professional Blow Dry (upgrade me for $30 more)

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Call	512-478-7744
Fax	512-482-9749