Make an Appointment

Contact information

First Name:

Last Name:

Address:

City:

State:

Zip Code:

Cell Phone Number:

Alternate Number:

E-mail:

Date of Birth: (Year optional)

How did you hear about TwistyLocks?

Your Hair History

1. Do you have Natural Hair only (no relaxer ends)?

a. If yes, how long have you been natural?
b. If no, when is the last time you had a relaxer? 2. Why did you decide to go Natural?

3. Have you ever had Locks Before?

a. If yes, why did you decide to cut them out?
b. If no, what made you decide to consider locks?

4. Have you ever seen a dermatologist for scalp conditions?

a. If yes, what were the doctor's results?
b. If no, does your hair flake excessively? 5. Additional comments?

Tentative Appointment Dates:

To have a complete consultation, stylist must be able to see length and texture of hair. Please do not wear extensions, braids or anything that will change or cover the texture of your ‘own’ natural hair.

SELECT PREFERRED DATE/TIME:

Monday

SELECT ALTERNATIVE DATE/TIME:

Monday