Hair Form

Welcome to Your Online Trichology Consultation

You're in the right place. Let’s get to the root of your hair loss and recommend the best treatment for you—quickly and easily. This consultation takes less than 2 minutes. Your answers will help us create the best treatment plan for you.

Bonus: We'll give you a FREE hair growth guide based on your results at the end of the consult

Before we get started, please introduce yourself

Pleasure to meet you, !
Can you please select what gender was assigned to you at birth?

Why we ask?

Biologically, the hormones that can cause hair loss can vary between man and women.

What's your age bracket, ?

Thanks for answering those questions, !

Let's talk about your hair, and get you closer to the solution you've been searching for!

When did you first notice your hair thinning?

Does hair loss run in your family? (This can be parents, grandparents, uncles or aunties)

Which area(s) of your scalp have you noticed thinning the most?

How much of your scalp is visible when your hair is dry?

Do you experience excessive hair shedding?

While personal factors like genetics play a role in hair loss, early or preventative treatment can slow and even reverse thinning before it progresses.

Have you experienced any of the following in the last 6 months?

Do you take any of the following medications?

Do you wear tight hairstyles, extensions, head covers or wigs often? 

Do you frequently wear tight hairstyles, or use harsh styling products?

Factors like aging, genetics, and daily stress can contribute to hair thinning and shedding.

The good news? Regenerative treatments using your body's natural healing factors—like PRP, PRF and Exosomes—can help restore scalp health and support fuller, thicker hair growth in aroun 3-6 months.

Since you've been experiencing , have you tried any treatments to help resolve your concern?

Are you open to non-surgical, natural treatments like PRP/PRF/Exosomes or plant-based hair growth serums?

Great news ,

your results & free hair growth guide are ready to be sent to you!

Our Head Trichologist will send you your results & guide, please let us know what email address you'd like her to send your results to.

Please check your junk mail, just in case your results get lost in there!