Connect Healing Head Spa Consultation Form

Name:
Email:
Date of appointment:
Date of Birth

1. Hair Type (Please select one or more that applies)
Other Hair Type:

Why we ask: Understanding your hair type helps us personalise the right products and techniques for your service.


2. Hair Ethnicity (Please select the option that best describes your hair)

Why we ask: Further understanding your hair type allows your therapist to choose the best possible products to use during your service.


3. Scalp Conditions (Please select if any apply)
Other Scalp Condition:

Why we ask: This helps us customise scalp treatments for optimal results.


4. Allergies (Please list any known allergies)
Please List Allergies:

Why we ask: We want to ensure we avoid any ingredients that may cause an allergic reaction.


5. Sensitivities (Are you sensitive to any products or essential oils?)
Please list sensitivities:

Why we ask: This allows us to modify your service to suit your comfort and health.


6. Water Heat Preference
Water Heat Preference:

Why we ask: We aim to make your service as relaxing as possible, and water temperature is key to your comfort.


7. Massage Pressure Preference

Why we ask: We opt for a firm pressure for Head Spa services, however, we understand that some clients can be sensitive. We will tailor the massage pressure to suit your desired comfort level for a soothing experience.


8. Colour or Bleach? (3 days either side of your booking)

Why we ask: Recent chemical treatments can cause scalp sensitivity. Your Head Spa service involves scalp scrubbing and should be avoided 3 days either side of Chemical Treatments to minimise discomfort and skin damage


9. Pregnancy
Please let us know more:

Why we ask: For the safety of both mother and baby, we cannot perform certain services during the 3rd trimester or with pregnancy complications.


10. Tension or Injuries (please select if any apply)
Please let us know more:

Why we ask: We adjust our techniques to avoid causing discomfort and to promote relaxation.


11. Medical Conditions (Please list any relevant medical conditions)
Medical Conditions:

Why we ask: Some medical conditions may require adjustments to your treatment for your safety and well-being.


12. Anxiety or Stress
Please let us know more:

Why we ask: Knowing if you experience anxiety or stress helps us provide an environment and treatment that aids in relaxation.


13. Hair Extensions
Please let us know more:

Why we ask: We do not perform Head Spas on clients with hair extensions. If you have hair extensions, please contact us and we will provide you with further information


14. Is this visit a gift, self-indulgence, remedy for a hair or scalp anomaly, business research, or are you a potential student?
Please let us know more:

Why we ask: This helps us personalise your experience based on your goals for the visit.


15. How excited are you about your visit?

Why we ask: We love knowing how excited you are so we can match your energy and make your visit unforgettable!


16. Do you consent to filming and photography for social media and marketing purposes?

Thank you for completing the consultation form. We can't wait to create a personalised, relaxing, and indulgent Head Spa experience just for you!