New Client Registration · GAON Ritual Head Spa

Personal Information

Your basic contact and personal details

First Name *

Last Name *

Date of Birth *

Sex *

Address Line 1 *

Address Line 2

Town / City *

County

Postcode *

Email Address *

Phone Number *

How did you hear about GAON?

Scalp & Hair Concerns

Help us understand your primary concerns so we can tailor your treatment

How long have you experienced these concerns?

Less than 6 months 6–12 months 1–3 years More than 3 years

Current Hair Treatments (select all that apply)

Please describe your scalp and hair concerns in your own words

Treatment Expectations

What would you like to achieve from your GAON experience?

What are your main expectations after your head spa treatment? (select all that apply)

Relief from scalp tightness and tension Reduced dandruff or flakiness Improved scalp balance

Healthier hair growth Deep relaxation and stress relief Better understanding of my scalp health General self-care and wellbeing

Is there anything specific you'd like Jin to focus on during your treatment?

Health & Safety

Important information to ensure your treatment is safe and appropriate

Do you have any of the following? (select all that apply)

High Blood Pressure / Heart Condition Epilepsy or Chronic Migraines History of Blood Clots or Stroke

Recent Head, Neck or Back Surgery (within 6 months) Current Cancer Treatment or Radiation Therapy Pregnancy

Psoriasis or Eczema on Scalp Recent Botox or Fillers in Forehead / Scalp Area (within 2 weeks) None of the above

Do you have any allergies? *

No known allergies Yes — see details below

If yes, please list your allergies (especially nuts, seeds, essential oils or fragrances)

Are you currently taking any medications that may affect scalp sensitivity or circulation?

Any other health information you'd like Jin to be aware of?

Booking Preferences

Help us find the best time to welcome you

Preferred Days (select all that apply)

Preferred Time of Day

Morning (9am–12pm) Afternoon (12pm–4pm) Late Afternoon (4pm–7pm) Flexible

Which treatment are you interested in?

Scalp Consultation (30 min · £45) Korean Head Spa Ritual (60 min · £90) Signature GAON Ritual (90 min · £120) Not sure yet

Is there a specific date or week you have in mind?

Data Protection & Consent

In compliance with UK GDPR — please read carefully before submitting

I have read and understood how my personal data will be used by GAON Ritual Head Spa. I consent to the collection and processing of my personal data as described above. * I consent to the use of Becon AI scalp analysis technology as part of my treatment, and understand that anonymised scalp imaging data may be processed by Becon's secure cloud platform. * I would like to receive occasional updates, treatment tips and special offers from GAON Ritual Head Spa by email. (Optional — you may unsubscribe at any time.) I confirm that the information I have provided is accurate and complete to the best of my knowledge. *

New Client
Registration Form

Thank you for registering.

New ClientRegistration Form

Thank you for registering.

New Client
Registration Form