1. Personal details2. Hair condition3. Design & Colour4. Lifestyle5. Summary Order Number First name * Last name * Email * Phone * Best contact * Email Phone Best time of day Morning Lunch Afternoon Evening Address Suburb State Post code Birthday I heard about Marie-France Group via Walk by Newspaper Radio Flyer Magazine TV Internet Referral Please let us know who referred you to us, as we would love to thank them. I am concerned about my hair being Fine Thick Medium Coarse Great Dry Oily Dull Limp Frizzy Curly Breakage Sensitive Thinning Other I am having a bad day when my hair is Flat Curly Full Frizzy Other I wash my hair Daily Every 2/3 days Weekly Other I spend on my hair (minutes) 5 10 20 Other I am using Shampoo Conditioner Treatment Spray Mousse Wax Other In the morning I use Dryer Brush Diffuser Fingers Curling iron Hot rollers Flat iron Comb Other I feel my scalp is Normal Dandruff Itchy Psoriasis Flakey Tight Hair loss Oily I select my products for the following hair type Sun Heat Fine/Limp Rebellious/Frizzy Dry Volume Coloured Damaged Density Oily Dandruff Uncontrollable curl Normal Hair loss Breakage Sensitive/Itchy/Tight Dull DESIGN How satisfied are you with your current design? 1 2 3 4 5 6 7 8 9 10 I feel my cut is Dated Doesn't suit Too long Too short Great Other I feel I need a change Yes No I want Longer Shorter One length Layers Texture Maintenance How often do you want to update your cut ? (Weeks) 4 5 6 7 8 Other COLOUR How satisfied are you with your current colour? 1 2 3 4 5 6 7 8 9 10 I feel my colour is Great Boring Lifeless Fades Doesn't suit my complexion I feel I need a change Yes No I want Lighter Darker Cooler Warmer Contrast Maintenance Do you have any known allergies or past reactions to colour? Yes No How often would you like to maintain your colour? (Weeks) 4 5 6 7 8 Other LIFESTYLE I work in Office Outdoors Not applicable I exercise Indoors Outdoors Swim regularly Not applicable PERSONALITY I am Conservative Classic Dramatic Eccentric Wash & Wear Natural High fashion FACIAL FEATURES I have concerns about Nose Chin Lines Eyes Forehead Ears Neck Cheeks Crown Body weight Other None GOAL My main reason for coming today is My image & style I need a change Relax Connection to my hairstylist Hair care & health Special occasion Maintenance My long-term goal is:What I value most in my journey through the salon is: (Please select three in total) Prior to the service Welcoming team Appointment Reminder Welcome Letter Time spent discovering and understranding your hair needs My voice counts/be listened to Recommendations/ Advice for Style Recommendations/ Advice for Colour Recommendations/ Advice for Products The quote What is new/special offers The service Connection with my stylist Efficiency/Speed Refreshments, magazines Head massage Consistency Feeling valued through our VIP Program Hygiene Ambiance Music Art Gallery/ Decor Focus on your well-being That we are a team of leaders constantly evolving After the service The end result Re-booking service Product samples Feedback follow-up Receiving our newsletter Connection through social media Please keep me informed via email about promotions, offers and special events relating to Marie-France Group Yes No Your voice counts. Your feedback is invaluable for us to create a better experience for you.Be assured, we guarantee our service for a period of two weeks from the date of your visit. Thank you for completing these questions, please return the tablet to your stylist and they will prepare a quotation for you. 2018-05-15
