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Head Spa

Head Spa Client Consultation & Consent

Your comfort, safety, and relaxation are our priority. Please complete this form before your head spa appointment.

Client Information

1 · Hair & Scalp Consultation

What is your scalp type? *
Do you currently experience any of the following?
Have you had any chemical hair services within the past 2 weeks?
Do you have hair extensions? *

2 · Health & Safety Information

Please check any health conditions that apply to you:

3 · Head Spa Preferences

Preferred massage pressure *
Are there any areas you would like us to avoid during your massage? *

4 · Client Consent & Acknowledgment

Please read and acknowledge each statement before receiving your head spa service.

5 · Client Signature

I have read and understood the information above and have had the opportunity to ask questions before my service.

Your personal information will be used for consultation, service safety, and client records, in accordance with applicable privacy requirements. See our Privacy Policy.