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THE ARTISTRY HIVE
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First name
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Last name
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Phone
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Email
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Do you live in or around the greater Rochester area?
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No
Yes
Please describe your hair for us, how long is it, thickness, and what is the texture like?
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If you have gotten your hair colored or highlighted please list your hair history for the past 2 years.
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Do you have any of the following on your hair currently? (please select all that apply)
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Henna
Box Dye
Permanent Color from a Salon
Relaxer, Perm or Keratin Treatment
Color, Lightener or Dye from a beauty store
None of the above
Are your ends dry, brittle or breaking? Please describe health below.
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Do you have any allergies?
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How is the health of your scalp? If you have any concerns for your hair or scalp please list them below.
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Please upload a front, side and back view picture or video of your current hair.
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