Know your hair

Fill out the questionnaire according to the characteristics of your hair and tell you how this and the best treatment for him. Please note that fields marked with * are required fields. If you wish you can send us some photos to for a better diagnosis.


Fistname and Lastname*
What color is your hair?
Do you take any medication?
Are you under any stress or stress, or have you been lately?
At work handled any powder or chemicals?
Do you have circulation problems, sleep is often the hands or skin?
Does itchy scalp?
Do you have flaking on the scalp?
How often do you wash your hair?
Since when have you noticed an increase in hair loss?
How old are you?
Do you usually have hair loss in fall or spring?
Do you have tips or dry or brittle hair?
Notice the hair too oily?
Do you dye your hair?
Do you want to make an appointment?


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