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What is your current hair style or coverage?
Shaved or Bald
Short
Medium Length
Long
Do you understand that SMP is a scalp tattoo and will not make hair grow back?
Yes
No
On a scale of 1 to 10, how would you rate the severity of your hair loss?
1-3
4-6
7-9
10
Do you currently have any skin or scalp issues?
Yes
No
First Name *
Last Name *
What email should we use to send your custom quote? *
What's the best number to text confirmation when your quote is ready? *
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