BUTCHERS CONSULTATION FORM

Your Details *

First Name

Last Name

Have you visited Butchers Salon before? *

Yes

No

Have you had a colour allergy test with us? *

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

What services are you interested in? *

Cut

Colour

Smoothing Treatment

Colour change (dark to light/Light to dark)

Restyle

Other

Your hair currently; *

Never been coloured / natural

Dark hair, previously coloured

Blonde with balayage or highlights

Dark blonde

Red / Copper

Bleached

Other

Hair Goals *

Colour you want 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 you want to achieve: *

Big chop

Just a tidy up

Add shape / remove weight

Growing it out

No cut, just colour

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 *

Boho / Beachy

Effortless/ Cool / Low Maintenance

Luxe / Glam / High Maintenance

Professional / Classy

Sporty

Vintage

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

Keep me in the loop with Butchers Salon news & offers? *

Yes please

No thanks