Consultation form

1. About you

Full namePhone number

EmailI'll send a copy of your answers here.How did you find me?

Date you're hoping for (optional)Service you're booking

2. Hair history

When did you last have colour, bleach, henna or chemical straightening?What else has been done to your hair before?

3. Allergies, scalp & skin

Please tell me anything at all here, even if it seems minor or you're not sure it matters. It's much easier for me to plan around something I know about.

Do you have any allergies?Any history of scalp sensitivity or conditions?Any skin conditions I should know about?Any previous damage, breakage or thinning?

4. Your hair

Not sure? That's completely fine, pick "not sure" and I'll check on the day.

Curl type

WavyCurlyCoilyNot sure

Strand texture

FineMediumCoarseNot sure

Density

ThinMediumDenseNot sure

Porosity

LowNormalHighNot sure

5. Your routine & goals

What products are you using at home right now?

How often do you wash and style?How often do you use heat?

What do you like and dislike about your hair right now?How much maintenance are you happy to do at home, and how long do you want your style to last?And importantly, what are you expecting from this appointment?This one's the most useful of the lot. It saves so many crossed wires.

6. Consent & agreement

I sometimes film or photograph appointments for my socials. Are you happy to be filmed?

Yes, face showingYes, but no faceNo, please don't film me

There's no wrong answer, and you can change your mind any time, even on the day.

I understand results depend on my hair's condition and history, and that some goals can take more than one appointment.I understand that following the aftercare advice I'm given is part of keeping my hair healthy and my style lasting.Everything I've told you above is accurate, including any allergies, scalp or skin conditions. I understand Nera can't be held responsible for reactions or damage caused by anything I haven't disclosed.

Type your full name to signIf you're 17 or under: parent or guardian's full name