Color Correction Form Name * First Name Last Name Email * Phone Number * Email * When was your last color service? Hair History (past 2-3 years) Check all that apply Permanent Hair Color Demi-Permanent / Semi-Permanent Color Lightener / Bleach Balayage / Highlights / Foil Work Vivid / Fashion Colors (reds, purples, blues, etc.) At-Home Color (box dye, henna, or other) Chemical Straightening or Relaxer Perm or Texture Treatment Do you use professional haircare products? YES NO Any scalp sensitivities, allergies, or skin conditions? Important Notes & Acknowledgment please check all I understand that color correction may take multiple sessions to achieve my goal safely. I understand results cannot be guaranteed due to my hair’s history and condition. I have disclosed all previous chemical services to the best of my knowledge. I understand that additional treatments may be required (deep conditioning, bond repair, trims, etc.) and service cost will be discussed during my consultation. Thank you!