MGI Keratine — Client Consultation Form

01General Client Information

Full Name

Phone Number

Address / Location for Mobile Visit

02Hair Details & Photos

Current Hair Length

Above Shoulders

Shoulder Length

Mid-Back

Waist Length or Longer

Hair Texture / Curl Pattern

Photo Submission — 2 clear photos in natural light

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Full length (dry, unstyled)

Tap to choose photo

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Close-up of roots/crown

Tap to choose photo

These 2 photos are sent as attachments automatically when you submit — no need to email them separately. Combined photo size must stay under 10MB.

03Chemical & Colour History (Past 12 Months)

Have you bleached, highlighted, or balayaged your hair?

Yes

Have you applied permanent, semi-permanent, or box dye?

Yes

Have you had a Henna or metallic dye treatment?

Yes

Have you previously had a Keratin, Nanoplastia, or Relaxer treatment?

Yes

04Scalp & Hair Health Assessment

Do you experience hair breakage or extreme elasticity/stretchy hair when wet?

Yes

Do you have scalp sensitivity, psoriasis, or active skin conditions?

Yes

Are you currently pregnant or nursing?

Yes

05Desired Outcome

What is your primary goal for this treatment?

100% Straightening / Curl Elimination

Frizz Reduction, keep soft wave

High Shine & Thermal Repair

06Mobile Setup Checklist

I have a standard electrical outlet near a well-lit area with a comfortable chair. I have running hot water and a sink/shower suitable for rinsing. I understand chemical smoothing treatments produce slight steam during flat-iron sealing, and I have a space with basic ventilation (open window or fan).

07Anything Else Melissa Should Know?

Concerns, allergies, or questions about your hair

Please fill in your name, phone number and address before sending.

A £50 non-refundable deposit secures your appointment. Final pricing depends on hair density and product consumption confirmed from your photos.