BUTCHERS CONSULTATION FORM

Name *

First Name

Last Name

Have you been to Butchers Salon before? *

Yes

No

Have you had a colour allergy test at Butchers Salon before? *

Yes

No

Do you suffer from sensitive scalp/skin irritations? *

Oily scalp

Itchy scalp

Dry scalp/ dandruff

Eczema/Psoriasis

Thinning hair

Sensitive scalp

Other

My scalp is healthy

I would like to book in for: *

Cut

Colour

Smoothing Treatment

Colour change (dark to light/Light to dark)

Restyle

Other

My hair is currently: *

Never been coloured / natural

Dark hair, previously coloured

Blonde with balayage or highlights

Dark blonde

Red / Copper

Bleached

Other

Colour I would like to achieve: *

Balayage

High Impact Blonde

Lived in Blonde

Classic blonde

Darker

Grey blending

Greys covered

Red / copper refresh

Colour change (light to dark / dark to light)

Brighter, vivid colours

Other

Cut I would like to achieve: *

Go much shorter

Add more shape

A maintenance cut to keep it healthy

Remove weight

Change my look

I'm growing it

I'm not looking to cut my hair

Other

Extensions *

Add length

Add thickness

Add thickness & length

Make hair super long & thick

Add colour with extensions

I'm not sure what I want

I'm not looking for extensions

I describe my ideal style as *

Classy

Boho

Beachy

Effortless

Cool

Scandi

Luxe

Glamorous

Professional

Sporty

Vintage

Sexy

Low Maintenance

High Maintenance

I change my style all the time

Please confirm you agree to our skin test policy *

To read the policies, please see the handy links at the bottom of the form

I agree

Would you like to hear about Butchers Salon news and offers? *

Yes please

No thanks