Keratin Smoothing Treatment Complete the form below and a member of our team will be in touch to discuss your requirements Name * First Name Last Name Email * Phone * (###) ### #### Have had hair a Keratin Smoothing Treatment before? * Yes No Have you visited The Cuttingroom before? * Yes No Do you suffer with a have a sensitive scalp?/ skin irritation? * Yes No If you have had Smoothing Treatment before, do you know what treatment was used? * Do you know the brand and type? * Have you suffered with hair loss? If yes please give details My hair is currently: * Damaged from colour /heat Naturally fine but in good condition Thick at the roots but wispy on the ends Broken or short at the front Quite short and i'm trying to grow it longer Falling out Long and healthy but fine/thin Other If other please specify I would like a Smoothing treatment too? * Take the frizz out Make hair more manageable Add shine Improve the condition Relax the curl and make it more managable Reduce drying time I struggle the most with * I describe my lifestyle / interests as; Busy Sporty Beachy Low mantenience High mantenience Social Travel Swim / watersports Cycling TV/ media Influencer Add links to an Instagram, Pinterest or other image This will give us a visual idea of what you would like to achieve! Anything else you would like to add? Additional pictures Thank you!