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Yaru Curls Head Spa

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Yaru Curls | Head Spa

This form help us understand your curls, scalp, and hair history so we can create a fully personalized Curl & Scalp Experience.

Please answer each question thoughtfully.

Your results begin here.

First name*

Last name*

Email*

Phone*

Birthday

Month

Day

Year

Is this your first visit at Yaru Curls?*

yes

How would you describe your curl pattern?*

Wavy

Curly

Coily

Mixed

Multi choice*

Dryness

Frizz

Breakage

Damage from color/bleach

Lack of definition

Scalp Issues

Hair loss

Have you colored or bleached your hair in the last 12 months?*

Yes

How often do you wash your hair?*

Daily

2-3 times per week

Once a week

Every two weeks or more

Do you experience any scalp concerns?*

Dryness

Itching

Flakes

Oiliness

Sensitivity

None

Do you currently use heat tools on your hair? (Check all that apply)*

Flat iron / Hair straightener

Blow dryer

Curling iron or wand

Hot brush

Only occasionally (special events)

I don’t use heat tools

How often do you use heat? (Daily / Weekly / Monthly / Rarely)*

What water temperature do you usually use when washing your hair?*

Hot water

Warm water

Cold / Cool water

I’m not sure

What are your main goals for this appointment? *

Are you currently pregnant or think you may be?*

Yes

I understand that it is my responsibility to inform my service provider of my pregnancy, as certain services, essential oils, heat, steam, or scalp treatments may not be recommended during pregnancy.

Do you have any known allergies or sensitivities to hair products, ingredients, fragrances, essential oils, or metals? Please list all that apply. If none, write “No known allergies.”*

Your Safety and Confort are our priority. This information helps us customize your treatment.

Photo & Treatment Consent*

I consent to treatment and educational photos for internal use.

YARU CURLS

Opening hours:

Tuesday - Friday: 9am-7pm / Saturday 9am-5pm

Address:

12451 S Orange Blossom Trail, Suite #129, Orlando, FL

Email:

hello@yarucurls.com

Phone:

+1 (689) 800 8626

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