Hair Health Evaluation

HAIR LOSS EVALUATION

Answer a few questions to find out if laser cap will work for you?
Is your hair finer or thinner than it once was?*
ave you changed the way you style your hair to try to conceal hair thinning?*
Have you found more hair than normal on your pillow, brush or shower drain?*
If you tie a ponytail, is the circumference of the ponytail smaller than it was before?*
In the part down the middle of your scalp, does the width of the part show more scalp than normal?*
Have members of your immediate or extended family, male or female, experienced hair loss?*
Have you sought professional or other advice for your hair?*
Select which of the following treatment options, if any, you have considered for hair loss
Enter any aditional comments here
Name
Email
Phone
Age
City