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+1 242-565-0228
Palmdale and Faith Ave Nassau, The Bahamas
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Personal Hair Loss Profile
Personal Hair Loss Profile
How is your hair feeling today?
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Thinning or Shedding?
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Dry or Damaged?
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Healthy and Strong?
Continue
Page 1 of 9
When did you 1st notice you was losing hair?
Within this year
Within 2-4 years
More than 10 years
More than 20 years ago
I'm Loosing hair and interested in hair care
Not Sure
Page 2 of 9
Have you seen a haircare specialist before?
Yes
No
Page 3 of 9
Do you have any other family members experiencing hair loss?
Yes
No
Not Sure
Page 4 of 9
If yes, who?
Mother
Father
Aunty
Sister
All of the above
None of the above
Page 5 of 9
How do you wear your hair on a day to day basis? Male only
With a cap
Iām always covering it up with something
I wear it Complete bald
It is what it is, I wear it just the way it is..
None of the above
Page 6 of 9
How do you wear your hair on a day to day basis? Female only
With a cap
Iām always covering it up with something
I wear it Complete bald
It is what it is, I wear it just the way it is..
A wig
None of the above
Page 7 of 9
Have you tried any other hair loss products?
Yes, everything in the book
No
Off and On
Page 8 of 9
How often do you wash and treat your hair?
Every two weeks
Once per month
When I get the chance
Page 9 of 9
What are your hair goals?
Healthy Hair
Thicker hair
Longer Hair
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