Name

Email Address

Telephone

Have you visited Two Moons before? Have you visited Two Moons before? Yes No

Have you had a skin test at Two Moons before? Have you had a skin test at Two Moons before? Yes No

Do you suffer from a sensitive scalp/skin irritation? Do you suffer from a sensitive scalp/skin irritation? Oily Scalp Itchy Scalp Dandruff Eczema/Psorisis Thinning Hair Sensitive Scalp Other My Scalp is Healthy

When are you looking to book in? (Are you looking for an appointment as soon as possible or planning ahead for a special event?)

I would like to book in for: (Tick boxes that apply to you) I would like to book in for: (Tick boxes that apply to you) Curl by curl cut Curly hair treatment Curl enhancing Curl relaxer/smoothing treatment Curl enhancing colour Volume enhancing cut Other

If other please specify

My hair is currently: My hair is currently: Wavy Straight with some natural texture Curly Oily Very long Shoulder length Bob Shorter than a bob

If other please specify

Cut I would like to achieve Cut I would like to achieve Go shorter Add more shape Have a maintenance cut to keep it healthy Enhance my curls Remove weight Change my look I'm growing it Remove volume Add more definition Other

If other please specify

I describe my ideal style as I describe my ideal style as Classy Boho Beachy Effortless Cool Scandi Luxe Glamorous Professional Sporty Vintage Sexy Low maintenance High maintenance I change my style all the time

Anything else you would like us to know?