Get tailored recommendations for effective hair loss treatments. The survey will help us understand your hair loss and concerns so that we can create a treatment plan that’s best for you. Step 1 of 8 12% 1. How long have you been experiencing hair loss?(Required) 0-2 Years 3-5 Years 6-10 Years 10+ Years 2. Hair loss affects people of all ages. When did you start experiencing hair loss?(Required) Below 20 Years Old Between 20-30 Years Old Between 31-40 Years Old Between 41-50 Years Old Above 50 Years Old 3. What is the cause of your hair loss (if known)? Select all that apply.(Required) Hereditary (Hair loss runs in my family) Medical conditions (such as Cancer, scalp infections or alopecia) Medications Stress or traumatic events Unknown 4. Which areas of your hair loss are most concerning to you? Select all that apply.(Required) Receding hairline Thinning crown or top of the scalp General hair thinning Bald spots (such as alopecia) Scaring (caused by traumatic events or hair transplant) Completely bald or shaved head 5. How has hair loss affected your self-esteem and confidence?(Required) Significantly affected my self-esteem and confidence Somewhat affected my self-esteem and confidence Does not affect my self-esteem and confidence 6. Have you tried any hair restoration treatments before? Select all that apply.(Required) Hair transplants PRP (Platelet Rich Plasma) therapy Laser therapy Topical treatments (such as creams, shampoos, oils or minoxidil) Other No, I have not tried hair restoration treatments before 7. On a scale of 1-10, how concerned are you about your hair loss? 1 being not concerned at all and 10 being extremely concerned. 8. Interested in learning more about effective hair restoration treatments that can help alleviate your hair loss? Enter your contact details below and we will send you more information.(Required) First Name Last Name Phone(Required)Email(Required) Added Bonus: Complete the survey to get 40% OFF permanent hair replacement services. Disclaimer: We do not sell or use your information for any purpose other than assessing your hair loss