Pre Consultation Form

We are excited to get to know your story and to help and guide you to happier, healthier hair.

Ideally, we recommend that you fill this form out a week before your appointment to ensure the information and images you provide are as recent as possible.

We do need photographs, but don’t worry – they of course stay between us and all steps have been taken to protect your privacy. If you haven’t submitted your Pre-Consultation form before your consultation, we will have to reschedule your appointment.

This form helps us build a profile of your hair’s history, sets your expectations and aids us in creating a plan for your hair’s health and your wellbeing.

Take some time to fill in the form, it is slightly time consuming but it’s so important to us that you get the most out of your consultation.

Please note, if you are under 18, you must fill in this form in the presence of your parent or guardian and they must be present during your consultation too.

Let’s get started!!

Full name *
Phone Number
General Health
Health Changes in the last 6 months
Procedures in the last 12 months
Family Medical History
Hair & Scalp Products/Routine
Typically, how often do you wash your hair?
Reaction To Any Brand, Product or Ingredient
Please select as many options as possible that best describe your situation:
Main Concern
Describe the Appearance & Symptoms
When did you First Notice these symptoms?
Have you ever been diagnosed with a scalp condition by a Dermatologist or Trichologist?
Please Specify
Please Specify
Do you have colour in your hair ?
Have you ever been pregnant ?
How long ago?
Do you have any allergies?
Please Specify
Please describe your Diet
Hair Line
Maximum file size: 300 MB
Crown Area
Maximum file size: 300 MB
Area of concern
Maximum file size: 300 MB
Lengths & Ends of Hair
Maximum file size: 300 MB
As a young business we would love to know how you heard about us.

Thank you so much for taking the time to fill in your pre consultation form. We look forward to seeing you at your consultation.

Your zoom link will be sent to you shortly. After our consultation you will be sent a bespoke prescription for your new hair and scalp plan, this will also include a unique code for a discount for your products on our website.

If you do not already have an account with Trua, you will receive an email with the option to set up a password for an account. On My Account, you will be able to view your Prescriptions and we will be able to make changes to them during your progression.

We are looking forward to happier and healthier hair!