QUICK HAIR TEST

Choose Your Gender

1. Step

1. Step

Which one would describe your hair loss pattern the closest?

1. Step

Which one would describe your hair loss pattern the closest?

2. Step

2. Step

How long has it been since your hair loss started?

3. Step

3. Step

Have you ever had a hair transplant before? If yes, please indicate the method of surgery (FUE/FUT) and the number of grafts.

3. Step

please indicate the method of surgery (FUE/FUT) and the number of grafts.

4. Step

Do you have any scalp/skin diseases? (Alopecia areata, seborrheic dermatitis, folliculitis etc.) If yes, please specify the illness.

4. Step

Do you have any scalp/skin diseases? (Alopecia areata, seborrheic dermatitis, folliculitis etc.) If yes, please specify the illness.

5. Step

5. Step

When would you like to make an appointment for your hair transplantation?

Contact Info

QUICK HAIR TEST

Thank you for your time, we are going to evaluate your answers and get back to you as soon as possible!