Hair Loss Quiz

Step 1 of 12

Phone

This field is for validation purposes and should be left unchanged.

To start off, what is your gender?(Required)

Female

Male

What is your age group?(Required)

Under 20 years old

20-29 years old

30-39 years old

40-49 years old

50-59 years old

60+ years old

How would you describe your hair type?(Required)

Curly/Wavy

Fine/Thin

Straight

Thick

Do you have a family history (parents, or other relatives) of hair loss?(Required)

Yes, one parent

Yes, both parents

Yes, other blood relatives

Unsure

Are you experiencing thinning on specific areas of your scalp?(Required)

Yes, peaks and edges

Yes, along the frontal hairline

Yes, mainly around the crown

Yes, both frontal hairline and crown

Yes, general thinning all over

Have you noticed a significant change in your hairline or crown in recent months?(Required)

No change at all

Minor changes, but nothing dramatic

Moderate changes, with noticeable thinning

Significant changes, with large areas of thinning or balding

Severe changes, with large bald patches that have rapidly expanded

Have you recently undergone significant stress or emotional events?(Required)

No, it’s been stable

Yes, in the past year

Yes, in the past 3 months

Not sure

How often do you use heat styling tools (straighteners, curling irons, blow dryers), or chemical hair treatments (dyes, relaxers)?(Required)

Daily

Weekly

Rarely

Never

Have you noticed any changes in your overall health, such as fatigue, weight changes, or skin issues?(Required)

No, my health has been stable

Yes, I’ve had fatigue or weight changes

Yes, I’ve had skin issues

Not sure

Are you on any medications or supplements?(Required)

No, I’m not on any regular medications

Yes, I take supplements regularly

Yes, I’m on medications that could impact hair (e.g., antidepressant, blood pressure, chemo)

Not sure

How would you rate your overall diet health?(Required)

Excellent – I eat mostly organic and fresh produce and am very fit and healthy

Good – I make sure to eat a variety of healthy foods and am in good health overall

Average – I try to eat balanced meals and am generally healthy but experience occasional health issues

Poor – I skip meals, have a very limited diet, and/or have health concerns or chronic conditions

Have you tried any treatments for hair loss?(Required)

No, I haven’t tried any treatments

Yes, I’ve used topical treatments like Minoxidil (Rogaine)

Yes, I’ve tried oral medications like Finasteride

Yes, I’ve used both or other treatments

Yes, I’ve tried but didn’t see any results

Free Consultation

Get A Free Assessment of Your Hair Loss