Tell Us About Your Hair… Name * First Name Last Name Your Age * Your Address Address 1 Address 2 City State/Province Zip/Postal Code Country Your Email Address Phone (###) ### #### Let us know which Guru you would like to receive Services and/or a Virtual Consult with. * Choose your preferred consultant. AmAni Maisha Shannon Whren Veronica Wise Let us know which Services you would like to receive... * Let us know which products you've been using on and for your Hair, Skin and Nails, and how often... * Let us know of any medication(s) you may use and/or products and foods you may be allergic to that we should know about... * Let us know if your Hair is Natural, Relaxed, Textured, or Color Treated and when and what was the last treatment that you received... * Tell us how often you Shampoo/Condition your Hair and what your process is in doing that... * Let us know your last visit to a Salon and what Services you received... * Let us know the Results you would like to see and your short/long term Goals for your Hair, Skin, and Nails... * Anything else that you think that we should know, please share... Thank you for your submission! A Lounge team member will reach out to you within 24-48 hours after receiving your consultation form to confirm particulars. It's a LIFESTYLE & It's Yours, So Simply LIVE... • It's a LIFESTYLE & It's Yours, So Simply LIVE... • It's a LIFESTYLE & It's Yours, So Simply LIVE... •