Questionnaire & Consent Form Before we begin, I would like to collect a bit of information. Name * First Name Last Name Date MM DD YYYY Email * Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country How did you hear about me? Instagram TikTok Word of mouth Email Event Other Which of the following best describes your eye colour? Light blue Deep blue Brown Grey Blue Green Grey Green Grey Hazel Deep Brown Other How would you best describe your natural hair? Black Dark Brown Mid Brown Light Brown Golden Blonde Strawberry Blonde Red Auburn Silvery Grey Warm Grey White Ash Blonde Do you colour your hair? Yes No Would you like to keep your hair the same or are you looking for a change? Keep as is Looking for a change How does your skin react to the sun? Burns easily Tans reasonably easy Gains a little colour if exposed slowly Tans deeply What colours would I most likely find in your wardrobe? Are there any colours which you find difficult to wear or dislike? What types of jewellery are you drawn towards? Silver Gold Bronze Copper Wood Rose Gold Platinum White gold Brushed silver Consent Form I give 'Colour Conviction' the right to take photographs and videos of me in connection with my colour and/or style session. I grant them permission to use my image or likeliness in a photograph, video or other electronic means, for advertising or promotional purposes such as but not limited to their website and social media accounts. I, understand, have read and fully understood the terms and conditions of signing this photo release waiver. By ticking the button down below, I am consenting. I consent I do not consent Thank you!
