Welcome to Eden.

Today’s all about you and we couldn’t be more excited to have you here. Before we dive into your personalized experience, we need a little information to tailor your ritual perfectly to your needs if you’re just here to relax, no problem-let us know, and we’ll take care of the rest.

Take a moment to sit back, finish up any digital business you have, and get ready to be transported into total relaxation.

Name

First Name

Last Name

Phone

(###)

###

####

Social media handles

Birthday

YYYY

Todays ritual

How did you hear about us?

If someone referred you, please let us know who to thank!

Health concerns

Please check all that apply

Currently pregnant

Mobility issues or injury

Had any lymph nodes removed

Undergone weight loss surgery

Currently taking weight loss medication (Oral or injectable)

Have a scalp or skin condition

Exercise regularly

None of these

Do you have any allergies?

Please also include any foods that you can’t eat, or any products or fragrances that irritate your skin,

How often do you wash your hair?

How often do you use heat styling tools and do you use heat protectant with them?

Are you experiencing hair loss?

Have you worn a hair extensions in the last 12 months?

What hair scalp products are you currently using?

What are your goals for today’s appointment?

What are your hair and scalp goals for the next six months?

I understand the rescheduling policy, including the nonrefundable deposit.

I understand and accept.

I consent to the use of my photos/videos for educational or promotional purposes.

All rituals booked under the education experience must consent to photo and video use in order to qualify for the education pricing.

Electronic signature

I certified that I have filled out this form, truthfully to the best of my ability.

Welcome to Eden.

Eden’s Coven