Beyond Beauty by Bekah

How often do you go to the salon for any service?

Every week

Every 2 weeks

Every 3-4 weeks

Every 2 months

Every 2-6 months

Twice a year

Once a year

Other

How long is your hair?

Short

Ear length

Shoulder length

Mid to back length

Lower back length

Bald

Other

What is the condition of your hair?

Hair loss

Damage due to heat

Split ends

Itchy scalp

Dandruff

Breakage

Hair is dry

Hair is healthy

Other

How would you describe your hair?

Thick

Medium

Fine

Thinning

Course

Curly

Coily

Straight

Wavy

Other

What is the condition of your scalp?

Dry

Oily

Normal

Other

How often do you use shampoo and conditioner on your hair?

Every day

Every other day

Twice a week

Once a week

Other

Have you used the following in your hair?

Permanent haircolor

Keratin treatment

Relaxer

Perm

Henna

Bleach/lightener

Other

What are your long term hair goals?

More length

Health of your hair (moisture)

Manageability

Color services

Other

Do you now or have had any issues with hair loss?

Yes

No