Natural Beauty Boutique - Private Consultation

Disclaimer: Natural Beauty Boutique is a natural hair care company that specializes in care and maintenance of the natural hair. We provide alternative techniques to natural hair styles as a management system. While these techniques encourage healthy hair growth, we do not endorse these techniques as hair growing systems. Healthy hair growth is based on the overall condition of your health and body. Natural Beauty Boutique recommends that clients consult a qualified healthcare professional with questions regarding your health and wellness.

First Name
Last Name
Address (Line 1)
City
State
ZIP
Primary Phone
Secondary Phone
Email
Birthdate (Year Optional)
Preferred Appt Day
How did you year about Natural Beauty Boutique or (NaturalMan)
Your Hair History
Do you have natural hair only (no relaxed ends)?	Yes No
Are you transitioning from relaxed hair to natural hair?	Yes No
Why did you decide to go natural?
Have you ever had locks before?	Yes No
Have you ever seen a Dermatologist for a scalp condition?	Yes No
What are your hobbies?
Do you have colored hair?	Yes No
Do you do your own color or a professional service?	Yes No
What do you want from your natural hair journey?

Private Consultation Form

Your Hair History