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Client Information

Micro Loc Consultation

Hair & Scalp Assessment

Have you had locs or long-term protective styles before?
Yes
No
Any scalp issues?
Yes
No
Used heat, color, or chemicals in the last 6 months?
Yes
No

Hair Type & Lifestyle

Hair Length (in inches):

Can you commit to regular maintenance (every 4–6 weeks)?
Yes
No
Do you work out/sweat in your scalp often?:
Yes
No

Style & Maintenance Goals 

Do you plan to style your locs often?
Yes
No
Are you familiar with interlocking or two-strand twists?
Yes
No

Commitment & Budget

Are you ready for the time and financial investment?
Yes
No
Will you be maintaining them yourself between visits?
Yes
No

Hair Analysis

Density Rating System

For Educational Purposes

Density Level

Description

Charge

  1. Fine

Scalp visible when hair is stretched

Base Price

  1. Med

Hair covers scalp well but not bulky

Base Price

  1. Full/Dense

Dense, hard to see scalp, requires extra time

+$150

Next Steps

☐ Pre-appointment instructions discussed

 ☐ Deposit required and policy reviewed

 ☐ Maintenance expectations explained

 ☐ Client understands retie schedule

**I declare that I have read this consultation form thoroughly and I understand every question asked. I believe I have no medical condition that may affect the treatment. All of the given answer is correct and true to the best of my knowledge.

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