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Loc Maintenance Request Form
All fields are mandatory for booking*
Section 1: Personal Information
First name
*
Last name
*
Phone
*
Email
*
Section 2: Loc History
How long have you had your locs? (e.g., 6 months, 2 years)
*
How long has it been since your last loc maintenance?
*
Where were your locs created?
*
Montreal
Other city in Canada
Outside Canada
Section 3: Wash & Product Routine
How often do you wash your locs?
*
Weekly
Every 2 weeks
Monthly
Other
How many weeks has it been since your last wash?
*
What products are you currently using on your locs/scalp? (List all known)
*
Section 4: Scalp & Health Info
Do you currently have any scalp issues (e.g., dandruff, dryness, itchiness, buildup)
*
Yes
No
If Yes, please explain:
Do you have any allergies (especially to hair products or essential oils)?
*
Yes
No
If Yes, please list:
Please provide a video or images of the current state of your locs' hairline, nape, crown and sides.
*
Upload File
Section 5: Booking Preferences
Date picker
*
Submit
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