Client Analysis Form

Date
Date of last Mycro Keratin service
Client name
Contact number
Date of Birth
Allergies to ingredientsnoyes

Home Care currently used:
HAIR ANALYSIS:
SCALP CONDITION
NormalDrySensitive
HAIR TEXTURE
FineMediumCourse
HAIR LENGHT
ShortMediumLong
HAIR POROSITY
Low (Resistant)MediumExtreme
HAIR CONDITION:
Roots
VirginColour TreatedChemically TreatedDamaged
Mid Lenght
VirginColour TreatedChemically TreatedDamaged
Ends
VirginColour TreatedChemically TreatedDamaged

Please list hair procedures:
PROCEDURE DETAILS:
Mycro keratin Service date:

Pre-softening requiredyesno

Client expectation:
Keep movementStraightening
Temperature used:
190°200°210°220°230°
Number of strokes (1-7):
Roots1234567
Ends1234567
Recommended Home Care

Salon name
Hairstylist
Email address
T’s & C’s Apply l Please note that longevity of the in salon treatment is subject to the use of the Mycro Keratin homecare ranges
For client’s assurance: please note should any discrepancies arise, the matter must be followed up with the salon at which the client underwent treatment first. As a general health and safety precaution, we do not advise that pregnant clients or clients with pre-existing scalp or skin conditions undergo ANY smoothing treatment. Should the client have any pre-existing scalp conditions or sensitivity, Mycro Keratin can not be held liable.

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